Provider Demographics
NPI:1255432092
Name:OQUINN, TRINA BETTY (LMFT)
Entity type:Individual
Prefix:
First Name:TRINA
Middle Name:BETTY
Last Name:OQUINN
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 1:1914 S PACIFIC COAST HIGHWAY
Mailing Address - Street 2:#104
Mailing Address - City:REDONDO BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90266-6148
Mailing Address - Country:US
Mailing Address - Phone:310-798-0712
Mailing Address - Fax:310-944-9417
Practice Address - Street 1:1914 S PACIFIC COAST HIGHWAY
Practice Address - Street 2:#104
Practice Address - City:REDONDO BEACH
Practice Address - State:CA
Practice Address - Zip Code:90266-6148
Practice Address - Country:US
Practice Address - Phone:310-798-0712
Practice Address - Fax:310-944-9417
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC27407106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist