Doctor Name: | MS. LUPE CARDENAS PARRAZ |
NPI Number: | 1659433597 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | LCS15583 |
Business Practice Address: | 275 S Madera Ave Suite 400 Kerman, CA - 936301403 |
Business Phone Number: | 5598467500 |
Business Fax Number: | 5598465892 |
Mailing Address: | 275 S Madera Ave, Suite 400 KERMAN |
State: | CA |
Postal Code: | 936301403 |
Phone Number: | 5598467500 |
Fax Number: | 5598465892 |
NPI Enumeration Date: | 12/15/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | LCS15583 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |