Provider Demographics
NPI:1912766429
Name:CASSELL, CHARNA (LMFT)
Entity Type:Individual
Prefix:MS
First Name:CHARNA
Middle Name:
Last Name:CASSELL
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7214 SUNKIST DR
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94605-2657
Mailing Address - Country:US
Mailing Address - Phone:415-999-2422
Mailing Address - Fax:
Practice Address - Street 1:7214 SUNKIST DR
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94605-2657
Practice Address - Country:US
Practice Address - Phone:415-999-2422
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-18
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA51238106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist