Provider Demographics
NPI:1720666787
Name:TUGEND-RAYMOND, ORLEE SHARONAH (MA MFT)
Entity Type:Individual
Prefix:MRS
First Name:ORLEE
Middle Name:SHARONAH
Last Name:TUGEND-RAYMOND
Suffix:
Gender:F
Credentials:MA MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5816 BURNET AVE
Mailing Address - Street 2:
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91411-3019
Mailing Address - Country:US
Mailing Address - Phone:818-601-7690
Mailing Address - Fax:
Practice Address - Street 1:5816 BURNET AVE
Practice Address - Street 2:
Practice Address - City:SHERMAN OAKS
Practice Address - State:CA
Practice Address - Zip Code:91411-3019
Practice Address - Country:US
Practice Address - Phone:818-601-7690
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-31
Last Update Date:2021-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA25789106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist