Provider Demographics
NPI:1124404025
Name:HERRERA, CLARA ANAHI (LMFT 116585)
Entity Type:Individual
Prefix:
First Name:CLARA
Middle Name:ANAHI
Last Name:HERRERA
Suffix:
Gender:F
Credentials:LMFT 116585
Other - Prefix:
Other - First Name:CLARA
Other - Middle Name:ANAHI
Other - Last Name:MORENO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:505 UTICA AVE APT 3
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92648-3258
Mailing Address - Country:US
Mailing Address - Phone:714-926-7067
Mailing Address - Fax:
Practice Address - Street 1:500 CITY PKWY W STE 200
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92868-2941
Practice Address - Country:US
Practice Address - Phone:714-480-6600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-04
Last Update Date:2021-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA116585106H00000X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist