Healthcare Provider Details

I. General information

NPI: 1679091680
Provider Name (Legal Business Name): DANIELLE GASTON LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/30/2017
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27393 YNEZ RD STE 261
TEMECULA CA
92591-4609
US

IV. Provider business mailing address

27393 YNEZ RD STE 261
TEMECULA CA
92591-4609
US

V. Phone/Fax

Practice location:
  • Phone: 951-719-5121
  • Fax:
Mailing address:
  • Phone: 858-381-2171
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number119328
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: