Provider Demographics
NPI:1306597075
Name:KLEIN, RANDI (LMFT,LPCC)
Entity type:Individual
Prefix:MS
First Name:RANDI
Middle Name:
Last Name:KLEIN
Suffix:
Gender:F
Credentials:LMFT,LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31351 VIA COLINAS STE 206
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91362-3914
Mailing Address - Country:US
Mailing Address - Phone:310-386-3277
Mailing Address - Fax:
Practice Address - Street 1:31351 VIA COLINAS STE 206
Practice Address - Street 2:
Practice Address - City:WESTLAKE VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91362-3914
Practice Address - Country:US
Practice Address - Phone:818-870-0268
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-14
Last Update Date:2022-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC41350101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health