Provider Demographics
NPI:1992484224
Name:URTUZUASTIGUI-NUNEZ, RAQUEL EVE (LCSW)
Entity type:Individual
Prefix:MRS
First Name:RAQUEL
Middle Name:EVE
Last Name:URTUZUASTIGUI-NUNEZ
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 1:7222 PRINCETON AVE
Mailing Address - Street 2:
Mailing Address - City:LA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:91942-8716
Mailing Address - Country:US
Mailing Address - Phone:951-403-3319
Mailing Address - Fax:
Practice Address - Street 1:7222 PRINCETON AVE
Practice Address - Street 2:
Practice Address - City:LA MESA
Practice Address - State:CA
Practice Address - Zip Code:91942-8716
Practice Address - Country:US
Practice Address - Phone:951-403-3319
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-13
Last Update Date:2023-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1145421041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical