Provider Demographics
NPI:1811238090
Name:CHUE, FRESVINDA (LMFT)
Entity type:Individual
Prefix:
First Name:FRESVINDA
Middle Name:
Last Name:CHUE
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4053 CHESTNUT ST STE 202
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92501-3536
Mailing Address - Country:US
Mailing Address - Phone:951-231-4043
Mailing Address - Fax:
Practice Address - Street 1:4053 CHESTNUT ST STE 202
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92501-3536
Practice Address - Country:US
Practice Address - Phone:951-231-4043
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-03-12
Last Update Date:2022-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA124273106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist