Healthcare Provider Details

I. General information

NPI: 1962093856
Provider Name (Legal Business Name): ALIESHIA CARDINAL LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/02/2021
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

719 DAVIS ST
RAMONA CA
92065-1707
US

IV. Provider business mailing address

PO BOX 1451
RAMONA CA
92065-0885
US

V. Phone/Fax

Practice location:
  • Phone: 760-445-0152
  • Fax:
Mailing address:
  • Phone: 760-803-5918
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number122462
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: