Provider Demographics
NPI:1609145085
Name:PALENCIA, CHRISTINA GARCIA
Entity Type:Individual
Prefix:MRS
First Name:CHRISTINA
Middle Name:GARCIA
Last Name:PALENCIA
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:CHRISTINA
Other - Middle Name:
Other - Last Name:GARCIA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:333 S. FARRELL DR.
Mailing Address - Street 2:
Mailing Address - City:PALM SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:92262
Mailing Address - Country:US
Mailing Address - Phone:760-416-1360
Mailing Address - Fax:760-416-1362
Practice Address - Street 1:333 S. FARRELL DR.
Practice Address - Street 2:
Practice Address - City:PALM SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:92262
Practice Address - Country:US
Practice Address - Phone:760-416-1360
Practice Address - Fax:760-416-1362
Is Sole Proprietor?:No
Enumeration Date:2011-12-14
Last Update Date:2020-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist