Provider Demographics
NPI:1952609703
Name:SUN, LORETTA (MSW, ACSW)
Entity Type:Individual
Prefix:
First Name:LORETTA
Middle Name:
Last Name:SUN
Suffix:
Gender:F
Credentials:MSW, ACSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5215 SEPULVEDA BLVD UNIT 17C
Mailing Address - Street 2:
Mailing Address - City:CULVER CITY
Mailing Address - State:CA
Mailing Address - Zip Code:90230-5250
Mailing Address - Country:US
Mailing Address - Phone:310-880-2986
Mailing Address - Fax:
Practice Address - Street 1:901 N. PACIFIC COAST HWY., 200A
Practice Address - Street 2:CONNECTING MENTAL HEALTH & EDUCATION, INC.
Practice Address - City:REDONDO BEACH
Practice Address - State:CA
Practice Address - Zip Code:90277
Practice Address - Country:US
Practice Address - Phone:310-316-1610
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-03
Last Update Date:2011-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist