Healthcare Provider Details

I. General information

NPI: 1073121026
Provider Name (Legal Business Name): EMERALD AUEYONG LPCC, LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/16/2020
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2810 E DEL MAR BLVD STE 8F
PASADENA CA
91107-4323
US

IV. Provider business mailing address

1308 E COLORADO BLVD # 242
PASADENA CA
91106-1932
US

V. Phone/Fax

Practice location:
  • Phone: 213-444-0143
  • Fax:
Mailing address:
  • Phone: 213-444-0143
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number160849
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number21556
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: