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NPI Code Detail

MEDICARE: MRS. DANIELLE LYNANN CISNEROS M.A.

MEDICARE: MRS. DANIELLE LYNANN CISNEROS M.A.
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 Therapist53552CA

General Provider Information

NPI Number : 1720263528
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DANIELLE LYNANN CISNEROS M.A.
Provider Business Mailing Address
First Line : 39755 MURRIETA HOT SPRINGS RD STE D160
Second Line :
City : MURRIETA
State : CA
Zip : 92563-9113
Country : US
Telephone Number : 951-294-5393
Fax Number : 951-257-1071
Provider Business Practice Location Address
First Line : 39755 MURRIETA HOT SPRINGS RD STE D160
Second Line :
City : MURRIETA
State : CA
Zip : 92563-9113
Country : US
Telephone Number : 951-285-2282
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/31/2007
Last Update Date : 12/27/2021

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Directions to “ MRS. DANIELLE LYNANN CISNEROS M.A.” Practice Location

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