Provider Demographics
NPI:1699906685
Name:MURPHY, CHALON SANORA (LMFT)
Entity type:Individual
Prefix:MS
First Name:CHALON
Middle Name:SANORA
Last Name:MURPHY
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:MRS
Other - First Name:CHALON
Other - Middle Name:SANORA
Other - Last Name:MURPHY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:4193 FLAT ROCK DRIVE
Mailing Address - Street 2:SUITE 200-547
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92505-7111
Mailing Address - Country:US
Mailing Address - Phone:951-598-1248
Mailing Address - Fax:951-394-7426
Practice Address - Street 1:4193 FLAT ROCK DRIVE
Practice Address - Street 2:SUITE 200-547
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92505-7111
Practice Address - Country:US
Practice Address - Phone:951-598-1248
Practice Address - Fax:951-394-7426
Is Sole Proprietor?:No
Enumeration Date:2009-08-07
Last Update Date:2024-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAIMF #83642106H00000X
CA125156106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist