Provider Demographics
NPI:1083422166
Name:ESPARZA, YVETTE (LMFT)
Entity type:Individual
Prefix:
First Name:YVETTE
Middle Name:
Last Name:ESPARZA
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:PO BOX 143
Mailing Address - Street 2:
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90608-0143
Mailing Address - Country:US
Mailing Address - Phone:562-889-8265
Mailing Address - Fax:
Practice Address - Street 1:2155 E GARVEY AVE N STE B17
Practice Address - Street 2:
Practice Address - City:WEST COVINA
Practice Address - State:CA
Practice Address - Zip Code:91791-1545
Practice Address - Country:US
Practice Address - Phone:626-489-9144
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-20
Last Update Date:2024-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA151954106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist