Healthcare Provider Details

I. General information

NPI: 1225803711
Provider Name (Legal Business Name): DARLENE DELIA DENISE WINSTON AMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DARLENE DELIA DENISE MUNOZ

II. Dates (important events)

Enumeration Date: 11/15/2023
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23990 EUCALYPTUS AVE
MORENO VALLEY CA
92553-5534
US

IV. Provider business mailing address

23990 EUCALYPTUS AVE
MORENO VALLEY CA
92553-5534
US

V. Phone/Fax

Practice location:
  • Phone: 909-687-5405
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number141624
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: