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NPI Code Detail

MEDICARE: MARISOL VALENCIA RINCON

MEDICARE:   MARISOL VALENCIA RINCON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family TherapistLMFT134520CA

General Provider Information

NPI Number : 1700123247
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARISOL VALENCIA RINCON
Provider Business Mailing Address
First Line : 501 W CHANNEL ISLANDS BLVD STE 304
Second Line :
City : PORT HUENEME
State : CA
Zip : 93041-2128
Country : US
Telephone Number : 805-946-8670
Fax Number :
Provider Business Practice Location Address
First Line : 501 W CHANNEL ISLANDS BLVD STE 304
Second Line :
City : PORT HUENEME
State : CA
Zip : 93041-2128
Country : US
Telephone Number : 805-946-8670
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/03/2013
Last Update Date : 06/03/2026

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Directions to “ MARISOL VALENCIA RINCON ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.