Provider Demographics
NPI:1316193527
Name:ARGUELLO, CHRISTINA ANN (LMFT)
Entity Type:Individual
Prefix:MS
First Name:CHRISTINA
Middle Name:ANN
Last Name:ARGUELLO
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:PO BOX 6672
Mailing Address - Street 2:
Mailing Address - City:SAN MATEO
Mailing Address - State:CA
Mailing Address - Zip Code:94403-6672
Mailing Address - Country:US
Mailing Address - Phone:650-303-8334
Mailing Address - Fax:
Practice Address - Street 1:80 EUREKA SQ STE 116
Practice Address - Street 2:
Practice Address - City:PACIFICA
Practice Address - State:CA
Practice Address - Zip Code:94044-2645
Practice Address - Country:US
Practice Address - Phone:650-303-8334
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-07
Last Update Date:2021-08-05
Deactivation Date:2010-01-21
Deactivation Code:
Reactivation Date:2013-07-30
Provider Licenses
StateLicense IDTaxonomies
CA52638106H00000X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health