Provider Demographics
NPI:1093839045
Name:BELMONTE, VICTORIA LEE (MFT)
Entity Type:Individual
Prefix:MS
First Name:VICTORIA
Middle Name:LEE
Last Name:BELMONTE
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1609 KRAFT ST
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92054-2207
Mailing Address - Country:US
Mailing Address - Phone:858-736-7884
Mailing Address - Fax:
Practice Address - Street 1:5650 EL CAMINO REAL STE 240
Practice Address - Street 2:
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92008-7129
Practice Address - Country:US
Practice Address - Phone:858-736-7884
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC41026106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist