Provider Demographics
NPI:1124143201
Name:NINO, HERLINDA PATRICIA (MA)
Entity type:Individual
Prefix:MS
First Name:HERLINDA
Middle Name:PATRICIA
Last Name:NINO
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4650 W SUNSET BLVD
Mailing Address - Street 2:MAIL STOP 115
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90027-6062
Mailing Address - Country:US
Mailing Address - Phone:323-671-3810
Mailing Address - Fax:323-669-7081
Practice Address - Street 1:4650 W SUNSET BLVD
Practice Address - Street 2:MAIL STOP 115
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90027-6062
Practice Address - Country:US
Practice Address - Phone:323-671-3810
Practice Address - Fax:323-669-7081
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-20
Last Update Date:2023-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFI83195101YM0800X
CAAMFT122162106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health