Healthcare Provider Details

I. General information

NPI: 1306477021
Provider Name (Legal Business Name): GEORGETTE ADRIANA ESQUIVEL-CHAND MS, LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/31/2020
Last Update Date: 11/18/2025
Certification Date: 11/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

244 LONGFORD DR
SOUTH SAN FRANCISCO CA
94080-1004
US

IV. Provider business mailing address

PO BOX 6594
SAN MATEO CA
94403-6594
US

V. Phone/Fax

Practice location:
  • Phone: 650-863-9521
  • Fax:
Mailing address:
  • Phone: 650-863-9521
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number138147
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number8316
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: