Provider Demographics
NPI:1669676094
Name:ESPINOZA, SARA CELINA (LMFT 46096)
Entity type:Individual
Prefix:MRS
First Name:SARA
Middle Name:CELINA
Last Name:ESPINOZA
Suffix:
Gender:F
Credentials:LMFT 46096
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:79 JUNEBERRY
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92606
Mailing Address - Country:US
Mailing Address - Phone:714-966-2135
Mailing Address - Fax:
Practice Address - Street 1:540 N GOLDEN CIRCLE DR STE 312
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92705-3926
Practice Address - Country:US
Practice Address - Phone:714-966-2135
Practice Address - Fax:949-932-0151
Is Sole Proprietor?:No
Enumeration Date:2007-06-11
Last Update Date:2019-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA46096106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist