Provider Demographics
NPI:1740418326
Name:SUFFIELD, CHRISTINE SUSAN (MA, LMFT)
Entity type:Individual
Prefix:MS
First Name:CHRISTINE
Middle Name:SUSAN
Last Name:SUFFIELD
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:MISS
Other - First Name:CHRISTINE
Other - Middle Name:SUSAN
Other - Last Name:D'ANIELLO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2905 N 3RD WAY
Mailing Address - Street 2:
Mailing Address - City:RIDGEFIELD
Mailing Address - State:WA
Mailing Address - Zip Code:98642-7308
Mailing Address - Country:US
Mailing Address - Phone:661-313-1113
Mailing Address - Fax:
Practice Address - Street 1:2905 N 3RD WAY
Practice Address - Street 2:
Practice Address - City:RIDGEFIELD
Practice Address - State:WA
Practice Address - Zip Code:98642-7308
Practice Address - Country:US
Practice Address - Phone:661-313-1113
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-23
Last Update Date:2024-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA92427106H00000X
CAIMF70270106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist