Provider Demographics
NPI:1932810785
Name:SOOD, SABINA KALSEY (LMFT)
Entity Type:Individual
Prefix:
First Name:SABINA
Middle Name:KALSEY
Last Name:SOOD
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 1:7563 E MOONRIDGE LN
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92808-1457
Mailing Address - Country:US
Mailing Address - Phone:909-472-9200
Mailing Address - Fax:
Practice Address - Street 1:7563 E MOONRIDGE LN
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92808-1457
Practice Address - Country:US
Practice Address - Phone:909-472-9200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-12
Last Update Date:2022-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA113591106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist