Provider Demographics
NPI:1962382473
Name:CHRISTOPHER, RANDY (LMFT)
Entity type:Individual
Prefix:
First Name:RANDY
Middle Name:
Last Name:CHRISTOPHER
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16830 VENTURA BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91436-1722
Mailing Address - Country:US
Mailing Address - Phone:626-803-1080
Mailing Address - Fax:
Practice Address - Street 1:16830 VENTURA BLVD STE 200
Practice Address - Street 2:
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91436-1722
Practice Address - Country:US
Practice Address - Phone:818-386-5600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-04
Last Update Date:2025-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT37646106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist