Provider Demographics
NPI:1063706927
Name:GARIBAY, MARIA ELENA (LMFT)
Entity type:Individual
Prefix:MRS
First Name:MARIA ELENA
Middle Name:
Last Name:GARIBAY
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 1:5500 CAMPANILE DR CALPULLI CENTER RM 4401
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92182-4541
Mailing Address - Country:US
Mailing Address - Phone:619-594-5220
Mailing Address - Fax:
Practice Address - Street 1:5500 CAMPANILE DR CALPULLI CENTER RM 4401
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92182-4541
Practice Address - Country:US
Practice Address - Phone:619-594-5220
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-07
Last Update Date:2023-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT96849106H00000X
106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist