Provider Demographics
NPI:1336266204
Name:CASTORENA, CHRISTINA ESTHER (MS, LMFT)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTINA
Middle Name:ESTHER
Last Name:CASTORENA
Suffix:
Gender:F
Credentials:MS, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 443
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91503-0443
Mailing Address - Country:US
Mailing Address - Phone:818-514-5655
Mailing Address - Fax:
Practice Address - Street 1:4370 TUJUNGA AVE
Practice Address - Street 2:SUITE 150
Practice Address - City:STUDIO CITY
Practice Address - State:CA
Practice Address - Zip Code:91604-2776
Practice Address - Country:US
Practice Address - Phone:818-514-5655
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-23
Last Update Date:2016-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT77161106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist