Provider Demographics
NPI:1225789258
Name:CABALDON, LAUREN DANIELLE (LMFT 102540)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:DANIELLE
Last Name:CABALDON
Suffix:
Gender:F
Credentials:LMFT 102540
Other - Prefix:
Other - First Name:LAUREN
Other - Middle Name:
Other - Last Name:CABALDON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMFT
Mailing Address - Street 1:701 W BEECH ST STE 1202
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92101-2674
Mailing Address - Country:US
Mailing Address - Phone:949-468-9697
Mailing Address - Fax:
Practice Address - Street 1:8950 VILLA LA JOLLA DR STE C227
Practice Address - Street 2:
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92037-1712
Practice Address - Country:US
Practice Address - Phone:619-704-3394
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-11
Last Update Date:2022-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA102540106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist