Provider Demographics
NPI:1699131540
Name:CRABILL, SHAWNA (LMFT)
Entity type:Individual
Prefix:MRS
First Name:SHAWNA
Middle Name:
Last Name:CRABILL
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 1:5535 BALBOA BLVD., #110
Mailing Address - Street 2:
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91316
Mailing Address - Country:US
Mailing Address - Phone:818-869-4452
Mailing Address - Fax:818-979-2246
Practice Address - Street 1:5535 BALBOA BLVD., #110
Practice Address - Street 2:
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91316
Practice Address - Country:US
Practice Address - Phone:818-869-4452
Practice Address - Fax:818-979-2246
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-07
Last Update Date:2018-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA83022101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health