Provider Demographics
NPI:1992075212
Name:BARCIA, ADELA R (MFCC)
Entity type:Individual
Prefix:
First Name:ADELA
Middle Name:R
Last Name:BARCIA
Suffix:
Gender:F
Credentials:MFCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 E LOS OLIVOS ST
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93105-3526
Mailing Address - Country:US
Mailing Address - Phone:805-898-9862
Mailing Address - Fax:
Practice Address - Street 1:18 E LOS OLIVOS ST
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93105-3526
Practice Address - Country:US
Practice Address - Phone:805-898-9862
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-03
Last Update Date:2012-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA15773106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist