Provider Demographics
NPI:1043559826
Name:FLORES, MONICA (LMFT)
Entity Type:Individual
Prefix:
First Name:MONICA
Middle Name:
Last Name:FLORES
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 1:1925 AVENIDA ESCAYA APT 324
Mailing Address - Street 2:
Mailing Address - City:CHULA VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:91913-3580
Mailing Address - Country:US
Mailing Address - Phone:619-578-1464
Mailing Address - Fax:
Practice Address - Street 1:1925 AVENIDA ESCAYA APT 324
Practice Address - Street 2:
Practice Address - City:CHULA VISTA
Practice Address - State:CA
Practice Address - Zip Code:91913-3580
Practice Address - Country:US
Practice Address - Phone:619-578-1464
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-02-13
Last Update Date:2022-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA116462106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist