Provider Demographics
NPI:1679007330
Name:SUTTON, SHELIA D (LMFT)
Entity type:Individual
Prefix:
First Name:SHELIA
Middle Name:D
Last Name:SUTTON
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 1:668 MIRA MONTE PL
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91101-2519
Mailing Address - Country:US
Mailing Address - Phone:626-379-2510
Mailing Address - Fax:
Practice Address - Street 1:301 E COLORADO BLVD STE 860
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91101-6151
Practice Address - Country:US
Practice Address - Phone:626-325-9322
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-19
Last Update Date:2023-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA90885106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist