Healthcare Provider Details

I. General information

NPI: 1124347844
Provider Name (Legal Business Name): TISHA RENE ARONSEN LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/19/2010
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6717 MORRO RD
ATASCADERO CA
93422-4137
US

IV. Provider business mailing address

6370 NAVARETTE AVE
ATASCADERO CA
93422-3746
US

V. Phone/Fax

Practice location:
  • Phone: 805-610-0334
  • Fax: 855-203-0699
Mailing address:
  • Phone: 805-610-0334
  • Fax: 855-203-0699

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number105558
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: