Provider Demographics
NPI:1134382864
Name:ESPINO, TANA (LMFT)
Entity type:Individual
Prefix:
First Name:TANA
Middle Name:
Last Name:ESPINO
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 1:299 N EUCLID AVE STE 400
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91101-1470
Mailing Address - Country:US
Mailing Address - Phone:626-808-4600
Mailing Address - Fax:
Practice Address - Street 1:299 N EUCLID AVE STE 400
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91101-1470
Practice Address - Country:US
Practice Address - Phone:626-808-4600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-02
Last Update Date:2021-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA53723106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist