Provider Demographics
NPI:1962214932
Name:DHANI, KRISHMA S (AMFT 150035)
Entity type:Individual
Prefix:
First Name:KRISHMA
Middle Name:S
Last Name:DHANI
Suffix:
Gender:F
Credentials:AMFT 150035
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 FEATHER RDG
Mailing Address - Street 2:
Mailing Address - City:MISSION VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92692-5185
Mailing Address - Country:US
Mailing Address - Phone:949-870-5880
Mailing Address - Fax:
Practice Address - Street 1:321 N RAMPART ST
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92868-1860
Practice Address - Country:US
Practice Address - Phone:949-624-8258
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-24
Last Update Date:2025-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist