Provider Demographics
NPI:1629215926
Name:PAREDES, MIREYA (MA, PPS)
Entity type:Individual
Prefix:MS
First Name:MIREYA
Middle Name:
Last Name:PAREDES
Suffix:
Gender:F
Credentials:MA, PPS
Other - Prefix:
Other - First Name:MIREYA
Other - Middle Name:
Other - Last Name:ESCALANTE TORRES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:709 W GRAHAM AVE
Mailing Address - Street 2:
Mailing Address - City:LAKE ELSINORE
Mailing Address - State:CA
Mailing Address - Zip Code:92530-3514
Mailing Address - Country:US
Mailing Address - Phone:951-202-5553
Mailing Address - Fax:
Practice Address - Street 1:41870 KALMIA ST
Practice Address - Street 2:
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92562-8839
Practice Address - Country:US
Practice Address - Phone:951-696-3501
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-08
Last Update Date:2009-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor