Provider Demographics
NPI:1285936989
Name:BARRAGAN, ELIZABETH GARCIA (LMFT)
Entity type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:GARCIA
Last Name:BARRAGAN
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 203
Mailing Address - Street 2:
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90608-0203
Mailing Address - Country:US
Mailing Address - Phone:310-625-3687
Mailing Address - Fax:
Practice Address - Street 1:3208 ROSEMEAD BLVD STE 200
Practice Address - Street 2:
Practice Address - City:EL MONTE
Practice Address - State:CA
Practice Address - Zip Code:91731-2830
Practice Address - Country:US
Practice Address - Phone:310-625-3687
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-12-01
Last Update Date:2019-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFTI65298106H00000X
CALMFT79579106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist