Provider Demographics
NPI:1083807200
Name:BENTO, DANIELLE LEA (LMFT)
Entity Type:Individual
Prefix:MISS
First Name:DANIELLE
Middle Name:LEA
Last Name:BENTO
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 1:6711 ARLINGTON AVE
Mailing Address - Street 2:STE. C
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92504-1955
Mailing Address - Country:US
Mailing Address - Phone:951-352-3943
Mailing Address - Fax:951-637-0611
Practice Address - Street 1:6711 ARLINGTON AVE
Practice Address - Street 2:STE. C
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92504-1955
Practice Address - Country:US
Practice Address - Phone:951-352-3943
Practice Address - Fax:951-637-0611
Is Sole Proprietor?:No
Enumeration Date:2007-08-21
Last Update Date:2009-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC45796106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist