Provider Demographics
NPI:1003059221
Name:CHRISTENSEN, ESMERALDA SOLORZANO (MFT, LPCC)
Entity Type:Individual
Prefix:
First Name:ESMERALDA
Middle Name:SOLORZANO
Last Name:CHRISTENSEN
Suffix:
Gender:F
Credentials:MFT, LPCC
Other - Prefix:
Other - First Name:ESMERALDA
Other - Middle Name:
Other - Last Name:SOLORZANO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MFT
Mailing Address - Street 1:5100 MARLBOROUGH DR
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92116-2020
Mailing Address - Country:US
Mailing Address - Phone:619-567-7399
Mailing Address - Fax:619-567-7399
Practice Address - Street 1:5100 MARLBOROUGH DR
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92116-2020
Practice Address - Country:US
Practice Address - Phone:619-567-7399
Practice Address - Fax:619-567-7399
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-17
Last Update Date:2016-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 45349106H00000X
CALPCC 1568101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional