Healthcare Provider Details

I. General information

NPI: 1700286499
Provider Name (Legal Business Name): ADRIANA CUENCA CARRARA LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/29/2014
Last Update Date: 12/03/2025
Certification Date: 12/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7770 REGENTS RD
SAN DIEGO CA
92122-1937
US

IV. Provider business mailing address

7770 REGENTS RD
SAN DIEGO CA
92122-1937
US

V. Phone/Fax

Practice location:
  • Phone: 619-987-2805
  • Fax:
Mailing address:
  • Phone: 619-987-2805
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberLMFT109920
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: