Provider Demographics
NPI:1386920270
Name:FORSTER, CLAUDIA (LMFT)
Entity type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:
Last Name:FORSTER
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 4062
Mailing Address - Street 2:
Mailing Address - City:SONORA
Mailing Address - State:CA
Mailing Address - Zip Code:95370-4062
Mailing Address - Country:US
Mailing Address - Phone:209-559-5739
Mailing Address - Fax:
Practice Address - Street 1:230 S SHEPHERD ST STE E
Practice Address - Street 2:
Practice Address - City:SONORA
Practice Address - State:CA
Practice Address - Zip Code:95370-5076
Practice Address - Country:US
Practice Address - Phone:209-559-5739
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-24
Last Update Date:2018-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 48273106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist