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NPI Code Detail

MEDICARE: CARMEN I. MALDONADO MFTI, PCCI

MEDICARE:   CARMEN I. MALDONADO  MFTI, PCCI
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
1101YP2500XProfessional Counselor16375CA
2101YP2500XProfessional Counselor2956CA
3106H00000XMarriage & Family Therapist92995CA

General Provider Information

NPI Number : 1447708110
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARMEN I. MALDONADO MFTI, PCCI
Provider Business Mailing Address
First Line : 1341 N ESCONDIDO BLVD
Second Line :
City : ESCONDIDO
State : CA
Zip : 92026-2507
Country : US
Telephone Number : 760-317-9120
Fax Number : 760-317-9120
Provider Business Practice Location Address
First Line : 1341 N ESCONDIDO BLVD
Second Line :
City : ESCONDIDO
State : CA
Zip : 92026-2507
Country : US
Telephone Number : 760-317-9120
Fax Number : 760-317-9120
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/12/2016
Last Update Date : 03/16/2026

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Directions to “ CARMEN I. MALDONADO MFTI, PCCI” Practice Location

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