MEDICARE: MISS ARLENE MARIE ESPINOSA LMFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	62724	CA
2	106H00000X	Marriage & Family Therapist	85952	CA

General Provider Information

NPI Number	:	1316092794
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS ARLENE MARIE ESPINOSA LMFT

Provider Business Mailing Address
First Line	:	PO BOX 221510
Second Line	:
City	:	NEWHALL
State	:	CA
Zip	:	91322-1510
Country	:	US
Telephone Number	:	310-739-2306
Fax Number	:

Provider Business Practice Location Address
First Line	:	24270 WALNUT ST
Second Line	:
City	:	SANTA CLARITA
State	:	CA
Zip	:	91321-2925
Country	:	US
Telephone Number	:	661-993-8664
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/24/2007
Last Update Date	:	05/09/2023

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