Provider Demographics
NPI:1063663136
Name:CORONEL, PATRICIA LORENA (MS, LMFT)
Entity Type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:LORENA
Last Name:CORONEL
Suffix:
Gender:F
Credentials:MS, LMFT
Other - Prefix:MRS
Other - First Name:PATRICIA
Other - Middle Name:LORENA
Other - Last Name:NEWSOME
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, LMFT
Mailing Address - Street 1:3125 WINERY AVE
Mailing Address - Street 2:
Mailing Address - City:CLOVIS
Mailing Address - State:CA
Mailing Address - Zip Code:93612-4718
Mailing Address - Country:US
Mailing Address - Phone:559-575-3919
Mailing Address - Fax:
Practice Address - Street 1:4452 E. KINGS CANYON ROAD
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93702
Practice Address - Country:US
Practice Address - Phone:559-600-6078
Practice Address - Fax:559-600-6090
Is Sole Proprietor?:No
Enumeration Date:2008-10-07
Last Update Date:2023-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA100814106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist