Provider Demographics
NPI:1225643158
Name:FELIX, CLAIRE MARIE
Entity Type:Individual
Prefix:
First Name:CLAIRE
Middle Name:MARIE
Last Name:FELIX
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:153 S. SIERRA AVENUE
Mailing Address - Street 2:P.O. BOX #1211
Mailing Address - City:SOLANA BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92075-1606
Mailing Address - Country:US
Mailing Address - Phone:917-886-2281
Mailing Address - Fax:
Practice Address - Street 1:1051 SAN PATRICIO DR
Practice Address - Street 2:
Practice Address - City:SOLANA BEACH
Practice Address - State:CA
Practice Address - Zip Code:92075-1606
Practice Address - Country:US
Practice Address - Phone:917-886-2281
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-08
Last Update Date:2020-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCSW934481041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical