Provider Demographics
NPI:1356170823
Name:REYES-SALDANA, TRIANA
Entity type:Individual
Prefix:
First Name:TRIANA
Middle Name:
Last Name:REYES-SALDANA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1193 N HILL AVE
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91104-3049
Mailing Address - Country:US
Mailing Address - Phone:808-756-7396
Mailing Address - Fax:
Practice Address - Street 1:3460 OCEAN VIEW BLVD STE E
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91208-3309
Practice Address - Country:US
Practice Address - Phone:808-756-7396
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-31
Last Update Date:2024-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1447575101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor