Basic Information
Provider Information
NPI: 1568646065
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SALINAS
FirstName: MARIA
MiddleName: ESTHER
NamePrefix: MRS.
NameSuffix:  
Credential: MFT-I
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 1559
Address2:  
City: BAKERSFIELD
State: CA
PostalCode: 933021559
CountryCode: US
TelephoneNumber: 6616353050
FaxNumber: 6618691503
Practice Location
Address1: 7839 BURGUNDY AVE
Address2:  
City: LAMONT
State: CA
PostalCode: 932411338
CountryCode: US
TelephoneNumber: 6618453731
FaxNumber: 6618455106
Other Information
ProviderEnumerationDate: 12/20/2007
LastUpdateDate: 12/09/2009
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
106H00000X58791CAY Behavioral Health & Social Service ProvidersMarriage & Family Therapist 

No ID Information.


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