Provider Demographics
NPI:1104017789
Name:VLADU, ELENA (LMFT)
Entity Type:Individual
Prefix:
First Name:ELENA
Middle Name:
Last Name:VLADU
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 1:61 5TH ST
Mailing Address - Street 2:
Mailing Address - City:TEMPLETON
Mailing Address - State:CA
Mailing Address - Zip Code:93465-5100
Mailing Address - Country:US
Mailing Address - Phone:805-464-6102
Mailing Address - Fax:
Practice Address - Street 1:61 5TH ST
Practice Address - Street 2:
Practice Address - City:TEMPLETON
Practice Address - State:CA
Practice Address - Zip Code:93465-5100
Practice Address - Country:US
Practice Address - Phone:805-464-6102
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-07
Last Update Date:2014-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist