Healthcare Provider Details

I. General information

NPI: 1780346452
Provider Name (Legal Business Name): ALEJANDRA MARGARITA GUZMAN-VALENCIA LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/11/2021
Last Update Date: 01/06/2022
Certification Date: 10/11/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2185 CITRACADO PKWY
ESCONDIDO CA
92029-4159
US

IV. Provider business mailing address

31644 BRIARWOOD PL
TEMECULA CA
92592-5856
US

V. Phone/Fax

Practice location:
  • Phone: 442-281-4153
  • Fax:
Mailing address:
  • Phone: 760-717-5337
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number97264
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: