Healthcare Provider Details

I. General information

NPI: 1760713937
Provider Name (Legal Business Name): MRS. YESSICA CUENCA-GARCIA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/27/2010
Last Update Date: 10/03/2025
Certification Date: 10/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2271 ALPINE BLVD STE A
ALPINE CA
91901-1101
US

IV. Provider business mailing address

2271 ALPINE BLVD STE A
ALPINE CA
91901-1101
US

V. Phone/Fax

Practice location:
  • Phone: 888-688-0248
  • Fax:
Mailing address:
  • Phone: 888-688-0248
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number112638
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number204949
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: