Provider Demographics
NPI:1396103834
Name:QUESADA, EVE H (LCSW)
Entity type:Individual
Prefix:MRS
First Name:EVE
Middle Name:H
Last Name:QUESADA
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:132 WILD RIVER LN
Mailing Address - Street 2:
Mailing Address - City:FOLSOM
Mailing Address - State:CA
Mailing Address - Zip Code:95630-2023
Mailing Address - Country:US
Mailing Address - Phone:209-324-2406
Mailing Address - Fax:
Practice Address - Street 1:132 WILD RIVER LN
Practice Address - Street 2:
Practice Address - City:FOLSOM
Practice Address - State:CA
Practice Address - Zip Code:95630-2023
Practice Address - Country:US
Practice Address - Phone:209-324-2406
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-01-28
Last Update Date:2016-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA294441041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical