Provider Demographics
NPI:1588966089
Name:CESARIO, KITZIA CATALINA (MA)
Entity type:Individual
Prefix:MISS
First Name:KITZIA
Middle Name:CATALINA
Last Name:CESARIO
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2218 GRANGER AVE
Mailing Address - Street 2:
Mailing Address - City:NATIONAL CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91950-6210
Mailing Address - Country:US
Mailing Address - Phone:760-604-2891
Mailing Address - Fax:
Practice Address - Street 1:7907 OSTROW ST STE F
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92111-3635
Practice Address - Country:US
Practice Address - Phone:858-300-8282
Practice Address - Fax:858-300-8284
Is Sole Proprietor?:No
Enumeration Date:2010-12-03
Last Update Date:2015-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health