Provider Demographics
NPI:1710457593
Name:QUINONEZ, CHRISTINA (LMFT)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:
Last Name:QUINONEZ
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 1:814 E HOME AVE APT 2
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93728-1844
Mailing Address - Country:US
Mailing Address - Phone:415-735-6440
Mailing Address - Fax:415-639-0705
Practice Address - Street 1:2121 BROADWAY UNIT 188031
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95818-5001
Practice Address - Country:US
Practice Address - Phone:415-735-6440
Practice Address - Fax:415-639-0705
Is Sole Proprietor?:No
Enumeration Date:2018-12-05
Last Update Date:2024-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA125022106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CALMFT1205022OtherBOARD OF BEHAVIORAL SCIENCES