Provider Demographics
NPI:1023536489
Name:PACHUCA, NORMA S (CAT- C1)
Entity type:Individual
Prefix:
First Name:NORMA
Middle Name:S
Last Name:PACHUCA
Suffix:
Gender:F
Credentials:CAT- C1
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11100 VALLEY BLVD STE 116
Mailing Address - Street 2:
Mailing Address - City:EL MONTE
Mailing Address - State:CA
Mailing Address - Zip Code:91731-2533
Mailing Address - Country:US
Mailing Address - Phone:626-444-0705
Mailing Address - Fax:626-444-0710
Practice Address - Street 1:10210 ORR AND DAY RD STE B
Practice Address - Street 2:
Practice Address - City:SANTA FE SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:90670-3581
Practice Address - Country:US
Practice Address - Phone:562-348-0083
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-06
Last Update Date:2025-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
CAAMFT148212106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health