Healthcare Provider Details

I. General information

NPI: 1851904585
Provider Name (Legal Business Name): DEENA JAMAL ESMEIRAT LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/24/2020
Last Update Date: 04/07/2025
Certification Date: 04/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

191 S BUENA VISTA ST STE 300
BURBANK CA
91505-4556
US

IV. Provider business mailing address

191 S BUENA VISTA ST STE 300
BURBANK CA
91505-4556
US

V. Phone/Fax

Practice location:
  • Phone: 925-282-1778
  • Fax:
Mailing address:
  • Phone: 925-282-1778
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number119324
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number119324
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: