Provider Demographics
NPI:1609217355
Name:SONGCUAN, JOANNA SARAO (LMFT)
Entity Type:Individual
Prefix:
First Name:JOANNA
Middle Name:SARAO
Last Name:SONGCUAN
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:JOANNA
Other - Middle Name:
Other - Last Name:SARAO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMFT
Mailing Address - Street 1:8810C JAMACHA BLVD # 265
Mailing Address - Street 2:
Mailing Address - City:SPRING VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:91977-5633
Mailing Address - Country:US
Mailing Address - Phone:619-398-5846
Mailing Address - Fax:
Practice Address - Street 1:2400 FENTON ST STE 217
Practice Address - Street 2:
Practice Address - City:CHULA VISTA
Practice Address - State:CA
Practice Address - Zip Code:91914
Practice Address - Country:US
Practice Address - Phone:619-213-9167
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-10
Last Update Date:2018-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist