Provider Demographics
NPI:1598935512
Name:VALENCIA, ESMERALDA (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:ESMERALDA
Middle Name:
Last Name:VALENCIA
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 1:2130 PROFESSIONAL DR
Mailing Address - Street 2:SUITE 240
Mailing Address - City:ROSEVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95661-3738
Mailing Address - Country:US
Mailing Address - Phone:916-616-9664
Mailing Address - Fax:
Practice Address - Street 1:2130 PROFESSIONAL DR
Practice Address - Street 2:SUITE 240
Practice Address - City:ROSEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95661-3738
Practice Address - Country:US
Practice Address - Phone:916-616-9664
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-05
Last Update Date:2015-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAIMF53443106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist