Provider Demographics
NPI:1376222943
Name:ALDESCHULTE, CELINA (AMFT)
Entity Type:Individual
Prefix:
First Name:CELINA
Middle Name:
Last Name:ALDESCHULTE
Suffix:
Gender:F
Credentials:AMFT
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 803142
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARITA
Mailing Address - State:CA
Mailing Address - Zip Code:91380-3142
Mailing Address - Country:US
Mailing Address - Phone:661-513-4317
Mailing Address - Fax:
Practice Address - Street 1:28490 AVENUE STANFORD STE 100
Practice Address - Street 2:
Practice Address - City:SANTA CLARITA
Practice Address - State:CA
Practice Address - Zip Code:91355-0922
Practice Address - Country:US
Practice Address - Phone:213-326-0033
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-12
Last Update Date:2023-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health