Provider Demographics
NPI:1295856805
Name:GIAMBUZZI, EUGENA MARCELINA (MFT)
Entity type:Individual
Prefix:MS
First Name:EUGENA
Middle Name:MARCELINA
Last Name:GIAMBUZZI
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39252 WINCHESTER RD STE 107-456
Mailing Address - Street 2:
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92563-3509
Mailing Address - Country:US
Mailing Address - Phone:951-234-6237
Mailing Address - Fax:951-319-6044
Practice Address - Street 1:27715 JEFFERSON AVE STE 112
Practice Address - Street 2:
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92590-6601
Practice Address - Country:US
Practice Address - Phone:951-234-6237
Practice Address - Fax:951-319-6044
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-02
Last Update Date:2024-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA45620106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist