Provider Demographics
NPI:1225844897
Name:GOLSON, SUNSHINE (LMFT)
Entity type:Individual
Prefix:
First Name:SUNSHINE
Middle Name:
Last Name:GOLSON
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 1:20352 KLINE DR
Mailing Address - Street 2:
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92660-0227
Mailing Address - Country:US
Mailing Address - Phone:714-723-8499
Mailing Address - Fax:
Practice Address - Street 1:901 DOVE ST STE 260
Practice Address - Street 2:
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92660-3038
Practice Address - Country:US
Practice Address - Phone:714-723-8499
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-09
Last Update Date:2024-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA120260106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist