Provider Demographics
NPI:1033460159
Name:GARCIA, LILIAN (MFC 85016)
Entity Type:Individual
Prefix:
First Name:LILIAN
Middle Name:
Last Name:GARCIA
Suffix:
Gender:F
Credentials:MFC 85016
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1588 HOMESTEAD RD.
Mailing Address - Street 2:SUITE 7
Mailing Address - City:SANTA CLARA
Mailing Address - State:CA
Mailing Address - Zip Code:95050
Mailing Address - Country:US
Mailing Address - Phone:650-690-2997
Mailing Address - Fax:888-925-2429
Practice Address - Street 1:1588 HOMESTEAD RD.
Practice Address - Street 2:SUITE 7
Practice Address - City:SANTA CLARA
Practice Address - State:CA
Practice Address - Zip Code:95050
Practice Address - Country:US
Practice Address - Phone:650-690-2997
Practice Address - Fax:888-925-2429
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-28
Last Update Date:2016-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT85016106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist