Lourdes Garza I

Individual provider Active NPI Mental Health Counselor · Wasco, CA

NPI 1194909218 · NPPES record last updated Apr 7, 2011

Key facts

NPI
1194909218
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
29325 Kimberlina Rd
Wasco, CA 93280
Phone
(661) 758-4029
NPI assigned
Dec 26, 2007
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
College Community Services Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Yes

Addresses

Primary practice location

29325 Kimberlina Rd
Wasco, CA 93280

Mailing address

267 Faber St
Shafter, CA 93263-2213
Phone (661) 316-9174

Other providers in Wasco, CA

All providers in Wasco, CA · Mental Health Counselor in California

Sources for this page

Verify at the official NPI Registry.