Provider Demographics
NPI:1407212665
Name:GAETA, YOLANDA OROZCO (MFTI)
Entity Type:Individual
Prefix:MS
First Name:YOLANDA
Middle Name:OROZCO
Last Name:GAETA
Suffix:
Gender:F
Credentials:MFTI
Other - Prefix:MS
Other - First Name:YOLANDA
Other - Middle Name:OROZCO
Other - Last Name:GAETA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA MFTI
Mailing Address - Street 1:3923 WARING ROAD STE D
Mailing Address - Street 2:NORTH COASTAL TREATMENT RECOVERY CENTER
Mailing Address - City:OCEANSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92056
Mailing Address - Country:US
Mailing Address - Phone:619-362-0277
Mailing Address - Fax:
Practice Address - Street 1:3923 WARING ROAD STE D
Practice Address - Street 2:NORTH COASTAL TREATMENT RECOVERY CENTER
Practice Address - City:OCEANSIDE
Practice Address - State:CA
Practice Address - Zip Code:92056
Practice Address - Country:US
Practice Address - Phone:619-362-0277
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-01-04
Last Update Date:2016-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist