Provider Demographics
NPI:1023587680
Name:SEARS, LORRAINE LOUISE (LMFT)
Entity type:Individual
Prefix:
First Name:LORRAINE
Middle Name:LOUISE
Last Name:SEARS
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 1:31780 AVENUE N
Mailing Address - Street 2:
Mailing Address - City:REDLANDS
Mailing Address - State:CA
Mailing Address - Zip Code:92373-7586
Mailing Address - Country:US
Mailing Address - Phone:949-300-6613
Mailing Address - Fax:
Practice Address - Street 1:31780 AVENUE N
Practice Address - Street 2:
Practice Address - City:REDLANDS
Practice Address - State:CA
Practice Address - Zip Code:92373-7586
Practice Address - Country:US
Practice Address - Phone:949-300-6613
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-13
Last Update Date:2024-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA134645106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist