Most Relevant Information
Provider Data
| NPI Number: | 1003269226 |
| Provider Name: | SHERRY SHAKOORI LMFT |
| Entity Type: | Individual |
| Taxonomy Code: | 106H00000X |
| Specialty: | Marriage & Family Therapist |
| License Number: | LMFT93589 |
Most Important Dates
| Enumeration Date: | 07/22/2016 |
| Last Updated: | 07/22/2016 |
Provider Practice Location
11693 SAN VICENTE BLVD # 560
LOS ANGELES
CA
900495105
Practice Location Phone/Fax
| Phone: | 3109935953 |
| Fax: |
Provider Mailing Location
11693 SAN VICENTE BLVD # 560
LOS ANGELES
CA
900495105
Provider Mailing Phone/Fax
| Phone: | 3109935953 |
| Fax: |