Provider Demographics
NPI:1962546465
Name:CEARFOSS, CHRISTINE (LCSW, PHD)
Entity type:Individual
Prefix:MS
First Name:CHRISTINE
Middle Name:
Last Name:CEARFOSS
Suffix:
Gender:F
Credentials:LCSW, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 E WARDLOW RD
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90807-4417
Mailing Address - Country:US
Mailing Address - Phone:562-427-6818
Mailing Address - Fax:562-427-3367
Practice Address - Street 1:23717 HAWTHORNE BLVD STE 103
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-5972
Practice Address - Country:US
Practice Address - Phone:103-302-7006
Practice Address - Fax:310-872-5041
Is Sole Proprietor?:No
Enumeration Date:2007-02-16
Last Update Date:2020-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical