Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ebony Staten

Individual provider Marriage & Family Therapist · NPI 1306661533

Ebony Staten is a Marriage & Family Therapist in Riverside, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2024
Specialties on file
2

Practice location Address checks out

19321 Grove Community Dr
Riverside, CA 92508-8113
Phone: (951) 571-9096
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 143416 (CA)
Professional Counselor Taxonomy 101YP2500X · Licence 15405 (CA)

Record details

NPI number1306661533
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 21, 2024
Last updated in NPPESNovember 21, 2024
Certification dateNovember 21, 2024

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