Provider Demographics
NPI:1952084253
Name:BARRETT, ANNALISA RINNA (LMFT)
Entity Type:Individual
Prefix:
First Name:ANNALISA
Middle Name:RINNA
Last Name:BARRETT
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:ANNALISA
Other - Middle Name:RINNA
Other - Last Name:NEWELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:17266 ESCALON DR
Mailing Address - Street 2:
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91436-4032
Mailing Address - Country:US
Mailing Address - Phone:310-617-8456
Mailing Address - Fax:
Practice Address - Street 1:17266 ESCALON DR
Practice Address - Street 2:
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91436-4032
Practice Address - Country:US
Practice Address - Phone:310-617-8456
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-11
Last Update Date:2023-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA140819106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist