Provider Demographics
NPI:1750152559
Name:SALELESI, TOESE (MS)
Entity type:Individual
Prefix:
First Name:TOESE
Middle Name:
Last Name:SALELESI
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3507 W STETSON AVE # 198
Mailing Address - Street 2:
Mailing Address - City:HEMET
Mailing Address - State:CA
Mailing Address - Zip Code:92545-9740
Mailing Address - Country:US
Mailing Address - Phone:951-599-5390
Mailing Address - Fax:
Practice Address - Street 1:484 SUNCUP CIR
Practice Address - Street 2:
Practice Address - City:HEMET
Practice Address - State:CA
Practice Address - Zip Code:92543-8723
Practice Address - Country:US
Practice Address - Phone:951-599-5390
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-10
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA143467106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist