Healthcare Provider Details

I. General information

NPI: 1265217186
Provider Name (Legal Business Name): JACINTA NAVAS GALDAMEZ MFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/29/2023
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 E REDLANDS BLVD STE 170N
REDLANDS CA
92373-4700
US

IV. Provider business mailing address

101 E REDLANDS BLVD STE 170N
REDLANDS CA
92373-4700
US

V. Phone/Fax

Practice location:
  • Phone: 909-951-9358
  • Fax:
Mailing address:
  • Phone: 909-951-9358
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number160434
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: