Provider Demographics
NPI:1083866487
Name:LOMELI CORONA, XOCHITL MARGARITA (ASSOCIATE CLINICAL S)
Entity Type:Individual
Prefix:MRS
First Name:XOCHITL
Middle Name:MARGARITA
Last Name:LOMELI CORONA
Suffix:
Gender:F
Credentials:ASSOCIATE CLINICAL S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:191 HARVEY WEST BLVD.
Mailing Address - Street 2:
Mailing Address - City:SANTA CRUZ
Mailing Address - State:CA
Mailing Address - Zip Code:95060
Mailing Address - Country:US
Mailing Address - Phone:931-469-1700
Mailing Address - Fax:831-425-0529
Practice Address - Street 1:709 MISSION ST
Practice Address - Street 2:
Practice Address - City:SANTA CRUZ
Practice Address - State:CA
Practice Address - Zip Code:95060-3614
Practice Address - Country:US
Practice Address - Phone:831-429-6835
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-16
Last Update Date:2011-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health