Provider Demographics
NPI:1760713937
Name:CUENCA-GARCIA, YESSICA
Entity Type:Individual
Prefix:MRS
First Name:YESSICA
Middle Name:
Last Name:CUENCA-GARCIA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 S GRAND AVE STE B
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92705-4121
Mailing Address - Country:US
Mailing Address - Phone:714-687-6046
Mailing Address - Fax:
Practice Address - Street 1:1001 S GRAND AVE STE B
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92705-4121
Practice Address - Country:US
Practice Address - Phone:714-687-6722
Practice Address - Fax:714-667-7621
Is Sole Proprietor?:No
Enumeration Date:2010-01-27
Last Update Date:2019-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist