Healthcare Provider Details

I. General information

NPI: 1982039863
Provider Name (Legal Business Name): CARMEN CRISTINA PANZARINI LMHC , LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/10/2013
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8025 SILVERCREST WAY
SAN DIEGO CA
92126-4482
US

IV. Provider business mailing address

4653 CARMEL MOUNTAIN ROAD STE 308 #AA247
SAN DIEGO CA
92130
US

V. Phone/Fax

Practice location:
  • Phone: 786-378-3822
  • Fax:
Mailing address:
  • Phone: 619-324-3281
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPCC23314
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLMHC10004866
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: