Provider Demographics
NPI:1568773208
Name:VALENZUELA, MARGARITA (LMFT)
Entity Type:Individual
Prefix:
First Name:MARGARITA
Middle Name:
Last Name:VALENZUELA
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 7527
Mailing Address - Street 2:
Mailing Address - City:LAGUNA NIGUEL
Mailing Address - State:CA
Mailing Address - Zip Code:92607-7527
Mailing Address - Country:US
Mailing Address - Phone:714-992-9110
Mailing Address - Fax:714-992-9165
Practice Address - Street 1:1661 N RAYMOND AVE
Practice Address - Street 2:SUITE 140
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92801-1120
Practice Address - Country:US
Practice Address - Phone:714-992-9110
Practice Address - Fax:714-992-9165
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-28
Last Update Date:2010-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA48575106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist