Provider Demographics
NPI:1619088952
Name:JOYNER, ADRIANA MAY (LMFT)
Entity Type:Individual
Prefix:
First Name:ADRIANA
Middle Name:MAY
Last Name:JOYNER
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:PO BOX 1263
Mailing Address - Street 2:
Mailing Address - City:FAIR OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:95628-1263
Mailing Address - Country:US
Mailing Address - Phone:916-547-3997
Mailing Address - Fax:888-975-6959
Practice Address - Street 1:9712 FAIR OAKS BLVD STE A-1
Practice Address - Street 2:
Practice Address - City:FAIR OAKS
Practice Address - State:CA
Practice Address - Zip Code:95628-7032
Practice Address - Country:US
Practice Address - Phone:916-547-3997
Practice Address - Fax:888-975-6959
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2021-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT INTERN 47494106H00000X
CA46651106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA46651OtherMFT
CA5610OtherMEDICAL ID NUMBER
CA47494OtherMFT INTERN