Provider Demographics
NPI:1992990915
Name:ARREDONDO, ESTHER (MS)
Entity type:Individual
Prefix:MISS
First Name:ESTHER
Middle Name:
Last Name:ARREDONDO
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 9TH ST STE 200
Mailing Address - Street 2:
Mailing Address - City:REDLANDS
Mailing Address - State:CA
Mailing Address - Zip Code:92374-4497
Mailing Address - Country:US
Mailing Address - Phone:909-353-2554
Mailing Address - Fax:909-435-0392
Practice Address - Street 1:301 9TH ST STE 200
Practice Address - Street 2:
Practice Address - City:REDLANDS
Practice Address - State:CA
Practice Address - Zip Code:92374-4497
Practice Address - Country:US
Practice Address - Phone:909-353-2554
Practice Address - Fax:909-435-0392
Is Sole Proprietor?:No
Enumeration Date:2007-09-12
Last Update Date:2018-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
CA67169106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health