Provider Demographics
NPI:1982000444
Name:PEBLER, CHRISTY (LCSW)
Entity type:Individual
Prefix:
First Name:CHRISTY
Middle Name:
Last Name:PEBLER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21383 COLEMAN ST
Mailing Address - Street 2:
Mailing Address - City:LAKEHEAD
Mailing Address - State:CA
Mailing Address - Zip Code:96051-9640
Mailing Address - Country:US
Mailing Address - Phone:530-410-4701
Mailing Address - Fax:
Practice Address - Street 1:21383 COLEMAN ST
Practice Address - Street 2:
Practice Address - City:LAKEHEAD
Practice Address - State:CA
Practice Address - Zip Code:96051-9640
Practice Address - Country:US
Practice Address - Phone:530-410-4701
Practice Address - Fax:530-710-1939
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-11
Last Update Date:2025-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCSW129003101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health