Provider Demographics
NPI:1982182853
Name:BALEN-GARCIA, DANETTE (MA, LMFT (#24798))
Entity Type:Individual
Prefix:MS
First Name:DANETTE
Middle Name:
Last Name:BALEN-GARCIA
Suffix:
Gender:F
Credentials:MA, LMFT (#24798)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6610 MELBA AVE
Mailing Address - Street 2:
Mailing Address - City:WEST HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91307-3409
Mailing Address - Country:US
Mailing Address - Phone:818-519-0716
Mailing Address - Fax:
Practice Address - Street 1:367 E THOUSAND OAKS BLVD
Practice Address - Street 2:
Practice Address - City:THOUSAND OAKS
Practice Address - State:CA
Practice Address - Zip Code:91360-8253
Practice Address - Country:US
Practice Address - Phone:818-519-0716
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-02
Last Update Date:2018-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist