| Doctor Name: | MS. SHERISA LYNNETTE DAHLGREN |
| NPI Number: | 1023147592 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LMFT |
| License Number: | MFC42224 |
| Business Practice Address: | 6736 Laurel Canyon Blvd North Hollywood, CA - 916061538 |
| Business Phone Number: | 8187558786 |
| Business Fax Number: | |
| Mailing Address: | 13546 Haynes St, VAN NUYS |
| State: | CA |
| Postal Code: | 914011713 |
| Phone Number: | 8183834362 |
| Fax Number: | |
| NPI Enumeration Date: | 03/02/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | MFC42224 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |