Provider Demographics
NPI:1629324967
Name:GALINDO SODERSTROM, MONIQUE LEAH (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:MONIQUE
Middle Name:LEAH
Last Name:GALINDO SODERSTROM
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 1:11233 REDBERRY ST
Mailing Address - Street 2:
Mailing Address - City:EL MONTE
Mailing Address - State:CA
Mailing Address - Zip Code:91733-3537
Mailing Address - Country:US
Mailing Address - Phone:626-315-0634
Mailing Address - Fax:
Practice Address - Street 1:11233 REDBERRY ST
Practice Address - Street 2:
Practice Address - City:EL MONTE
Practice Address - State:CA
Practice Address - Zip Code:91733-3537
Practice Address - Country:US
Practice Address - Phone:626-315-0634
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-24
Last Update Date:2021-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT126106106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist