Provider Demographics
NPI:1275756553
Name:CARDONE, WENDY JOAN (LMFT)
Entity Type:Individual
Prefix:
First Name:WENDY
Middle Name:JOAN
Last Name:CARDONE
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 1:5011 ARGOSY AVE STE 3
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92649-1002
Mailing Address - Country:US
Mailing Address - Phone:714-313-6988
Mailing Address - Fax:866-896-5216
Practice Address - Street 1:5011 ARGOSY AVE STE 3
Practice Address - Street 2:
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92649-1002
Practice Address - Country:US
Practice Address - Phone:714-313-6988
Practice Address - Fax:866-896-5216
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-11
Last Update Date:2018-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 39263106H00000X
CALMFT39263106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA11700193OtherCAQH