Provider Demographics
NPI:1174082705
Name:RASKIND, CORINNE (LMFT)
Entity type:Individual
Prefix:
First Name:CORINNE
Middle Name:
Last Name:RASKIND
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 1:321 N RAMPART ST STE 210
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92868-1860
Mailing Address - Country:US
Mailing Address - Phone:657-222-1054
Mailing Address - Fax:
Practice Address - Street 1:321 N RAMPART ST STE 210
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:657-222-1054
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-13
Last Update Date:2024-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAMFT111296106H00000X
CA125493106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist