Provider Demographics
NPI:1316089667
Name:GONZALES, CLAUDIA RAE (LMFT)
Entity type:Individual
Prefix:MRS
First Name:CLAUDIA
Middle Name:RAE
Last Name:GONZALES
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 1:3530 W MINERAL KING AVE STE E
Mailing Address - Street 2:
Mailing Address - City:VISALIA
Mailing Address - State:CA
Mailing Address - Zip Code:93291-5600
Mailing Address - Country:US
Mailing Address - Phone:559-737-2115
Mailing Address - Fax:855-803-8711
Practice Address - Street 1:3530 W MINERAL KING AVE STE E
Practice Address - Street 2:
Practice Address - City:VISALIA
Practice Address - State:CA
Practice Address - Zip Code:93291-5600
Practice Address - Country:US
Practice Address - Phone:559-737-2115
Practice Address - Fax:855-803-8711
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-13
Last Update Date:2023-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT53894106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1316089667Medicaid
CALMFT53894OtherLICENSED MARRIAGE AND FAMILY THERAPIST