Provider Demographics
NPI:1609173871
Name:LINARES, DEBBIE ALEJANDRA
Entity Type:Individual
Prefix:
First Name:DEBBIE
Middle Name:ALEJANDRA
Last Name:LINARES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:265 S RANDOLPH AVE STE 290
Mailing Address - Street 2:
Mailing Address - City:BREA
Mailing Address - State:CA
Mailing Address - Zip Code:92821-5702
Mailing Address - Country:US
Mailing Address - Phone:323-203-2028
Mailing Address - Fax:323-334-1371
Practice Address - Street 1:265 S RANDOLPH AVE STE 290711E
Practice Address - Street 2:
Practice Address - City:BREA
Practice Address - State:CA
Practice Address - Zip Code:92821-5754
Practice Address - Country:US
Practice Address - Phone:323-203-2028
Practice Address - Fax:323-334-1371
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-23
Last Update Date:2024-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA108766106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist