Most Relevant Information
Provider Data
NPI Number: | 1003080474 |
Provider Name: | LEILANI JANE CARINIO LMFT |
Entity Type: | Individual |
Taxonomy Code: | 106H00000X |
Specialty: | Marriage & Family Therapist |
License Number: | LMFT97564 |
Most Important Dates
Enumeration Date: | 04/16/2008 |
Last Updated: | 03/17/2018 |
Provider Practice Location
1151 DOVE ST STE 245
NEWPORT BEACH
CA
926602806
Practice Location Phone/Fax
Phone: | 7145859447 |
Fax: |
Provider Mailing Location
PO BOX 4881
GARDEN GROVE
CA
92840
Provider Mailing Phone/Fax
Phone: | 7145859447 |
Fax: |