Provider Demographics
NPI:1720970619
Name:CAILLER, CHRISTINE DONLON (MA, LMFT)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:DONLON
Last Name:CAILLER
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2516 VIA TEJON STE 102
Mailing Address - Street 2:
Mailing Address - City:PALOS VERDES ESTATES
Mailing Address - State:CA
Mailing Address - Zip Code:90274-6807
Mailing Address - Country:US
Mailing Address - Phone:978-604-1070
Mailing Address - Fax:
Practice Address - Street 1:2516 VIA TEJON STE 102
Practice Address - Street 2:
Practice Address - City:PALOS VERDES ESTATES
Practice Address - State:CA
Practice Address - Zip Code:90274-6807
Practice Address - Country:US
Practice Address - Phone:978-604-1070
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-16
Last Update Date:2025-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA156262106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist