Provider Demographics
NPI:1184067969
Name:NICULESCU, ADRIANA CHRISTINA (LMFT)
Entity type:Individual
Prefix:
First Name:ADRIANA
Middle Name:CHRISTINA
Last Name:NICULESCU
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 1:19103 HOLLOW LN
Mailing Address - Street 2:
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96003-8609
Mailing Address - Country:US
Mailing Address - Phone:530-604-8507
Mailing Address - Fax:
Practice Address - Street 1:1290 TAVERN RD
Practice Address - Street 2:
Practice Address - City:MAMMOTH LAKES
Practice Address - State:CA
Practice Address - Zip Code:93546-6601
Practice Address - Country:US
Practice Address - Phone:530-604-8507
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-11
Last Update Date:2022-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA72996106H00000X
CALMFT87388106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist