Healthcare Provider Details

I. General information

NPI: 1003666751
Provider Name (Legal Business Name): ELIZABETH THERESE SETER LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/25/2024
Last Update Date: 01/29/2026
Certification Date: 01/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19322 JESSE LN
RIVERSIDE CA
92508-5072
US

IV. Provider business mailing address

19322 JESSE LN
RIVERSIDE CA
92508-5072
US

V. Phone/Fax

Practice location:
  • Phone: 951-387-4040
  • Fax:
Mailing address:
  • Phone: 951-387-4040
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number159423
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: