Provider Demographics
NPI:1447940747
Name:FALEONO, MARIA ALICIA (AMFT)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:ALICIA
Last Name:FALEONO
Suffix:
Gender:F
Credentials:AMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:VICTOR COMMUNITY SUPPORT SERVICES
Mailing Address - Street 2:1105 E FLORIDA AVE.
Mailing Address - City:HEMET
Mailing Address - State:CA
Mailing Address - Zip Code:92543
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:VICTOR COMMUNITY SUPPORT SERVICES
Practice Address - Street 2:1105 E FLORIDA AVE.
Practice Address - City:HEMET
Practice Address - State:CA
Practice Address - Zip Code:92543
Practice Address - Country:US
Practice Address - Phone:619-829-3402
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-10
Last Update Date:2023-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist