Provider Demographics
NPI:1629960547
Name:CONTRERAS, ISABELLA MARIA
Entity type:Individual
Prefix:
First Name:ISABELLA
Middle Name:MARIA
Last Name:CONTRERAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1070 CONCORD AVE STE 105
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:CA
Mailing Address - Zip Code:94520-5608
Mailing Address - Country:US
Mailing Address - Phone:408-661-4419
Mailing Address - Fax:
Practice Address - Street 1:1070 CONCORD AVE STE 105
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:CA
Practice Address - Zip Code:94520-5608
Practice Address - Country:US
Practice Address - Phone:408-661-4419
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-16
Last Update Date:2025-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health