Provider Demographics
NPI:1073736054
Name:QUIRARTE VILLA, ESPERANZA (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:ESPERANZA
Middle Name:
Last Name:QUIRARTE VILLA
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:MRS
Other - First Name:ESPERANZA
Other - Middle Name:
Other - Last Name:ABEJON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:28125 BRADLEY RD
Mailing Address - Street 2:SUITE 220
Mailing Address - City:SUN CITY
Mailing Address - State:CA
Mailing Address - Zip Code:92586-2288
Mailing Address - Country:US
Mailing Address - Phone:951-309-2140
Mailing Address - Fax:951-309-2141
Practice Address - Street 1:28125 BRADLEY RD
Practice Address - Street 2:SUITE 220
Practice Address - City:SUN CITY
Practice Address - State:CA
Practice Address - Zip Code:92586-2288
Practice Address - Country:US
Practice Address - Phone:951-309-2140
Practice Address - Fax:951-309-2141
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-10
Last Update Date:2022-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA106H00000X
CALMFT117276106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist