Provider Demographics
NPI:1831424969
Name:EMERINE, DARLENE S (MFTI)
Entity type:Individual
Prefix:
First Name:DARLENE
Middle Name:S
Last Name:EMERINE
Suffix:
Gender:F
Credentials:MFTI
Other - Prefix:
Other - First Name:NIKKI
Other - Middle Name:
Other - Last Name:EMERINE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:28999 OLD TOWN FRONT ST STE 104
Mailing Address - Street 2:
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92590-2842
Mailing Address - Country:US
Mailing Address - Phone:951-261-8392
Mailing Address - Fax:951-261-8395
Practice Address - Street 1:28999 OLD TOWN FRONT ST STE 104
Practice Address - Street 2:
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92590-2842
Practice Address - Country:US
Practice Address - Phone:951-261-8392
Practice Address - Fax:951-261-8395
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-07
Last Update Date:2023-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA127497106H00000X, 106H00000X
CA61665106H00000X, 174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No174400000XOther Service ProvidersSpecialist