Provider Demographics
NPI:1033446869
Name:MEJIA, ADRIANA PATRICIA (MS, LMFT)
Entity Type:Individual
Prefix:
First Name:ADRIANA
Middle Name:PATRICIA
Last Name:MEJIA
Suffix:
Gender:F
Credentials:MS, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 REDLANDS AVE
Mailing Address - Street 2:
Mailing Address - City:PERRIS
Mailing Address - State:CA
Mailing Address - Zip Code:92571-2600
Mailing Address - Country:US
Mailing Address - Phone:951-940-6695
Mailing Address - Fax:
Practice Address - Street 1:201 REDLANDS AVE
Practice Address - Street 2:
Practice Address - City:PERRIS
Practice Address - State:CA
Practice Address - Zip Code:92571-2600
Practice Address - Country:US
Practice Address - Phone:519-406-6959
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-16
Last Update Date:2022-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA135575106H00000X
CA57646106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist