Provider Demographics
NPI:1609686872
Name:DANZER, CITRINE (LMFT)
Entity type:Individual
Prefix:
First Name:CITRINE
Middle Name:
Last Name:DANZER
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 1:965 MIRAMONTE DR APT 5
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93109-1330
Mailing Address - Country:US
Mailing Address - Phone:831-236-5193
Mailing Address - Fax:
Practice Address - Street 1:965 MIRAMONTE DR APT 5
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93109-1330
Practice Address - Country:US
Practice Address - Phone:831-236-5193
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-09
Last Update Date:2025-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA150308106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist