Provider Demographics
NPI:1457132110
Name:ECHEVERRIA, EMILY (MS, LMFT)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:ECHEVERRIA
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 1:2929 WESTMINSTER AVE UNIT 2565
Mailing Address - Street 2:
Mailing Address - City:SEAL BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90740-9123
Mailing Address - Country:US
Mailing Address - Phone:714-340-5367
Mailing Address - Fax:
Practice Address - Street 1:1000 QUAIL ST STE 185
Practice Address - Street 2:
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92660-2766
Practice Address - Country:US
Practice Address - Phone:714-340-5367
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-09
Last Update Date:2023-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA141672106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist