Healthcare Provider Details

I. General information

NPI: 1104577352
Provider Name (Legal Business Name): CAROLINA CESENA AMFT,APCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/10/2022
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3576 ARLINGTON AVE STE 212
RIVERSIDE CA
92506-3986
US

IV. Provider business mailing address

3576 ARLINGTON AVE STE 212
RIVERSIDE CA
92506-3986
US

V. Phone/Fax

Practice location:
  • Phone: 951-800-8430
  • Fax:
Mailing address:
  • Phone: 951-800-8430
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number22225
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number162253
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: