Provider Demographics
NPI:1619004199
Name:SALCIDO KASTEINER, ROSA INEZ (MS, LMFT)
Entity Type:Individual
Prefix:
First Name:ROSA INEZ
Middle Name:
Last Name:SALCIDO KASTEINER
Suffix:
Gender:F
Credentials:MS, LMFT
Other - Prefix:
Other - First Name:INEZ
Other - Middle Name:
Other - Last Name:SALCIDO-KASTEINER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMFT
Mailing Address - Street 1:1433 E ROUTE 66
Mailing Address - Street 2:SUITE E
Mailing Address - City:GLENDORA
Mailing Address - State:CA
Mailing Address - Zip Code:91740-3747
Mailing Address - Country:US
Mailing Address - Phone:626-675-0371
Mailing Address - Fax:888-831-9618
Practice Address - Street 1:8119 FLALLON AVE
Practice Address - Street 2:
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90606-3021
Practice Address - Country:US
Practice Address - Phone:626-675-0371
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-28
Last Update Date:2011-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA50010106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist