Provider Demographics
NPI:1003369844
Name:CORONA, ANAKARI (LCSW 108934)
Entity Type:Individual
Prefix:MRS
First Name:ANAKARI
Middle Name:
Last Name:CORONA
Suffix:
Gender:F
Credentials:LCSW 108934
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2063 RANCHO VALLEY DRIVE
Mailing Address - Street 2:UNIT 320 #129
Mailing Address - City:POMONA
Mailing Address - State:CA
Mailing Address - Zip Code:91766
Mailing Address - Country:US
Mailing Address - Phone:909-300-5148
Mailing Address - Fax:
Practice Address - Street 1:2063 RANCHO VALLEY DRIVE
Practice Address - Street 2:UNIT 320 #129
Practice Address - City:POMONA
Practice Address - State:CA
Practice Address - Zip Code:91766
Practice Address - Country:US
Practice Address - Phone:909-300-5148
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-28
Last Update Date:2023-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1089341041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical