Provider Demographics
NPI:1396371357
Name:HARNETIAUX, CELYNNA I (MA, LMFT)
Entity type:Individual
Prefix:MRS
First Name:CELYNNA
Middle Name:I
Last Name:HARNETIAUX
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:CELYNNA
Other - Middle Name:
Other - Last Name:ROMERO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:235 AVENIDA DEL NORTE STE B
Mailing Address - Street 2:
Mailing Address - City:REDONDO BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90277-5729
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:235 AVENIDA DEL NORTE STE B
Practice Address - Street 2:
Practice Address - City:REDONDO BEACH
Practice Address - State:CA
Practice Address - Zip Code:90277-5729
Practice Address - Country:US
Practice Address - Phone:562-322-3631
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-20
Last Update Date:2023-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA118714106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist