Provider Demographics
NPI:1366563975
Name:MOON-PEREZ, CLAUDIA S (LMFT, CEAP)
Entity type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:S
Last Name:MOON-PEREZ
Suffix:
Gender:F
Credentials:LMFT, CEAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6700 INDIANA AVE SUITE 110
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92506
Mailing Address - Country:US
Mailing Address - Phone:951-369-9990
Mailing Address - Fax:951-369-9090
Practice Address - Street 1:6700 INDIANA AVE STE 110
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92506-4297
Practice Address - Country:US
Practice Address - Phone:951-369-9990
Practice Address - Fax:951-369-9090
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-02
Last Update Date:2022-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA31370106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist