Provider Demographics
NPI:1144764424
Name:LAIRD, ANA FERNANDA (LMFT 140603)
Entity Type:Individual
Prefix:
First Name:ANA
Middle Name:FERNANDA
Last Name:LAIRD
Suffix:
Gender:F
Credentials:LMFT 140603
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3218
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93385-3218
Mailing Address - Country:US
Mailing Address - Phone:661-873-4927
Mailing Address - Fax:661-873-4928
Practice Address - Street 1:2000 BAKER ST
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93305-3061
Practice Address - Country:US
Practice Address - Phone:661-873-4927
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-12-06
Last Update Date:2024-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT140603106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist