Provider Demographics
NPI:1669130944
Name:BORGHETTI, CHIARA E (LMFT)
Entity type:Individual
Prefix:
First Name:CHIARA
Middle Name:E
Last Name:BORGHETTI
Suffix:
Gender:
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12626 RIVERSIDE DR STE 409
Mailing Address - Street 2:
Mailing Address - City:VALLEY VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91607-3451
Mailing Address - Country:US
Mailing Address - Phone:818-661-6306
Mailing Address - Fax:
Practice Address - Street 1:915 SUMMIT DR # B
Practice Address - Street 2:
Practice Address - City:SOUTH PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91030-4350
Practice Address - Country:US
Practice Address - Phone:818-800-3776
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-03
Last Update Date:2025-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA153656106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist