Provider Demographics
NPI:1043009830
Name:HUANTE, PRISCILLA ANTOINETTE
Entity type:Individual
Prefix:
First Name:PRISCILLA
Middle Name:ANTOINETTE
Last Name:HUANTE
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14746 SAN ESTEBAN DRIVE
Mailing Address - Street 2:
Mailing Address - City:LA MIRADA
Mailing Address - State:CA
Mailing Address - Zip Code:90638
Mailing Address - Country:US
Mailing Address - Phone:909-268-6103
Mailing Address - Fax:
Practice Address - Street 1:13552 UNIVERSITY ST
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CA
Practice Address - Zip Code:92683-2770
Practice Address - Country:US
Practice Address - Phone:714-894-7227
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-06
Last Update Date:2025-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool