Healthcare Provider Details
I. General information
NPI: 1811435738
Provider Name (Legal Business Name): MONICA MICHAEL ESKAROS LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 02/11/2017
Last Update Date: 05/07/2024
Certification Date: 05/07/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
16132 LITTLER DR
HUNTINGTON BEACH CA
92649-1738
US
IV. Provider business mailing address
16132 LITTLER DR
HUNTINGTN BCH CA
92649-1738
US
V. Phone/Fax
- Phone: 714-362-6277
- Fax:
- Phone: 714-949-0757
- Fax: 714-617-4898
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 106H00000X |
| Taxonomy | Marriage & Family Therapist |
| License Number | LMFT146938 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: