Provider Demographics
NPI:1205860814
Name:VENCES, ANA A (MFT)
Entity Type:Individual
Prefix:
First Name:ANA
Middle Name:A
Last Name:VENCES
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 N INDIAN HILL BLVD
Mailing Address - Street 2:SUITE C2-202
Mailing Address - City:CLAREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:91711-4666
Mailing Address - Country:US
Mailing Address - Phone:909-613-0762
Mailing Address - Fax:
Practice Address - Street 1:101 N INDIAN HILL BLVD
Practice Address - Street 2:SUITE C2-202
Practice Address - City:CLAREMONT
Practice Address - State:CA
Practice Address - Zip Code:91711-4666
Practice Address - Country:US
Practice Address - Phone:909-613-0762
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2011-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC19828174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist