Provider Demographics
NPI:1336338607
Name:DAY, PIETRINA ANN (LMFT)
Entity type:Individual
Prefix:MRS
First Name:PIETRINA
Middle Name:ANN
Last Name:DAY
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 1:4024 IBIS STREET
Mailing Address - Street 2:STE B
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92103-1840
Mailing Address - Country:US
Mailing Address - Phone:619-574-0110
Mailing Address - Fax:619-698-5609
Practice Address - Street 1:4024 IBIS STREET
Practice Address - Street 2:STE B
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92103-1840
Practice Address - Country:US
Practice Address - Phone:619-574-0110
Practice Address - Fax:619-698-5609
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-23
Last Update Date:2007-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YA0400X
CAMFC24866106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)