Provider Demographics
NPI:1255461570
Name:ACEVEDO, URANIA (LMFT)
Entity type:Individual
Prefix:MRS
First Name:URANIA
Middle Name:
Last Name:ACEVEDO
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 1:24930 WASHINGTON AVENUE
Mailing Address - Street 2:# 86
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92562-2213
Mailing Address - Country:US
Mailing Address - Phone:951-344-5454
Mailing Address - Fax:951-746-3999
Practice Address - Street 1:27851 BRADLEY RD STE 109
Practice Address - Street 2:
Practice Address - City:MENIFEE
Practice Address - State:CA
Practice Address - Zip Code:92586-2213
Practice Address - Country:US
Practice Address - Phone:951-344-5454
Practice Address - Fax:951-746-3999
Is Sole Proprietor?:No
Enumeration Date:2007-03-06
Last Update Date:2019-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA46939106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist