Healthcare Provider Details

I. General information

NPI: 1629224316
Provider Name (Legal Business Name): YESICA CRISTAL SOLORIO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/13/2008
Last Update Date: 01/09/2024
Certification Date: 01/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

450 LINCOLN AVE STE 101
SALINAS CA
93901-2652
US

IV. Provider business mailing address

604 PEARL ST
MONTEREY CA
93940-3070
US

V. Phone/Fax

Practice location:
  • Phone: 831-269-5288
  • Fax:
Mailing address:
  • Phone: 831-751-1905
  • Fax: 831-751-1906

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number116438
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: