Provider Demographics
NPI:1497077291
Name:LOZANO, CHRISTENE (LMFT)
Entity Type:Individual
Prefix:
First Name:CHRISTENE
Middle Name:
Last Name:LOZANO
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 1:18143 ATINA ST
Mailing Address - Street 2:
Mailing Address - City:ROWLAND HEIGHTS
Mailing Address - State:CA
Mailing Address - Zip Code:91748-1809
Mailing Address - Country:US
Mailing Address - Phone:626-674-3307
Mailing Address - Fax:
Practice Address - Street 1:541 S GLENDORA AVE
Practice Address - Street 2:SUITE E
Practice Address - City:GLENDORA
Practice Address - State:CA
Practice Address - Zip Code:91741-6209
Practice Address - Country:US
Practice Address - Phone:626-674-3307
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-19
Last Update Date:2017-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA96658106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist