Provider Demographics
NPI:1144243569
Name:VALDEZ, CHRISTINE P (MFT)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:P
Last Name:VALDEZ
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:PO BOX 246
Mailing Address - Street 2:
Mailing Address - City:SAN MARCOS
Mailing Address - State:CA
Mailing Address - Zip Code:92079-0246
Mailing Address - Country:US
Mailing Address - Phone:760-720-9224
Mailing Address - Fax:760-481-7490
Practice Address - Street 1:785 GRAND AVE
Practice Address - Street 2:SUITE 219
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92008-2370
Practice Address - Country:US
Practice Address - Phone:760-720-9224
Practice Address - Fax:760-481-7490
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC21949106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist