Provider Demographics
NPI:1316120694
Name:LERMA, LIZBETH PARTIDA (LMFT)
Entity type:Individual
Prefix:
First Name:LIZBETH
Middle Name:PARTIDA
Last Name:LERMA
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 1:1170 W QUAIL ROCK WAY
Mailing Address - Street 2:
Mailing Address - City:HANFORD
Mailing Address - State:CA
Mailing Address - Zip Code:93230-6591
Mailing Address - Country:US
Mailing Address - Phone:559-492-9511
Mailing Address - Fax:559-238-0705
Practice Address - Street 1:310 N IRWIN ST STE 24
Practice Address - Street 2:
Practice Address - City:HANFORD
Practice Address - State:CA
Practice Address - Zip Code:93230-4479
Practice Address - Country:US
Practice Address - Phone:559-492-9511
Practice Address - Fax:559-238-0705
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-10
Last Update Date:2022-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
CAMFC 49687106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health