Provider Demographics
NPI:1679946271
Name:SALDANA, ELENA ANN (LMFT)
Entity Type:Individual
Prefix:
First Name:ELENA
Middle Name:ANN
Last Name:SALDANA
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 1:15000 7TH ST STE 202E
Mailing Address - Street 2:
Mailing Address - City:VICTORVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:92395-3852
Mailing Address - Country:US
Mailing Address - Phone:209-640-9963
Mailing Address - Fax:909-913-4864
Practice Address - Street 1:15000 7TH ST STE 202E
Practice Address - Street 2:
Practice Address - City:VICTORVILLE
Practice Address - State:CA
Practice Address - Zip Code:92395-3852
Practice Address - Country:US
Practice Address - Phone:209-640-9963
Practice Address - Fax:909-913-4864
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-04
Last Update Date:2024-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA124640106H00000X
374700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374700000XNursing Service Related ProvidersTechnician
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist