Provider Demographics
NPI:1235360132
Name:WOO, PRISCA C (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:PRISCA
Middle Name:C
Last Name:WOO
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1175 E GARVEY ST
Mailing Address - Street 2:SUITE 102
Mailing Address - City:COVINA
Mailing Address - State:CA
Mailing Address - Zip Code:91724-3677
Mailing Address - Country:US
Mailing Address - Phone:626-967-6421
Mailing Address - Fax:626-967-9670
Practice Address - Street 1:1175 E GARVEY ST
Practice Address - Street 2:SUITE 102
Practice Address - City:COVINA
Practice Address - State:CA
Practice Address - Zip Code:91724-3677
Practice Address - Country:US
Practice Address - Phone:626-967-6421
Practice Address - Fax:626-967-9670
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-27
Last Update Date:2009-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 37718106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist