Provider Demographics
NPI:1023152600
Name:FROILAN, MARIA PACIENCIA (MFC)
Entity type:Individual
Prefix:MISS
First Name:MARIA
Middle Name:PACIENCIA
Last Name:FROILAN
Suffix:
Gender:F
Credentials:MFC
Other - Prefix:MISS
Other - First Name:MAE
Other - Middle Name:
Other - Last Name:FROILAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:701 S ADAMS ST
Mailing Address - Street 2:UNIT-D
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91205-5206
Mailing Address - Country:US
Mailing Address - Phone:818-545-8821
Mailing Address - Fax:
Practice Address - Street 1:10428 LOWER AZUSA RD
Practice Address - Street 2:
Practice Address - City:EL MONTE
Practice Address - State:CA
Practice Address - Zip Code:91731-1208
Practice Address - Country:US
Practice Address - Phone:626-453-3399
Practice Address - Fax:626-463-3398
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-16
Last Update Date:2022-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT38702106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist