Healthcare Provider Details

I. General information

NPI: 1003059221
Provider Name (Legal Business Name): ESMERALDA SOLORZANO CHRISTENSEN MFT, LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ESMERALDA SOLORZANO MFT

II. Dates (important events)

Enumeration Date: 04/17/2009
Last Update Date: 11/23/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5100 MARLBOROUGH DR
SAN DIEGO CA
92116-2020
US

IV. Provider business mailing address

5100 MARLBOROUGH DR
SAN DIEGO CA
92116-2020
US

V. Phone/Fax

Practice location:
  • Phone: 619-567-7399
  • Fax: 619-567-7399
Mailing address:
  • Phone: 619-567-7399
  • Fax: 619-567-7399

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPCC 1568
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMFC 45349
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: