Provider Demographics
NPI:1265040315
Name:BARAJAS, MARIA ESTER (APCC)
Entity Type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:ESTER
Last Name:BARAJAS
Suffix:
Gender:F
Credentials:APCC
Other - Prefix:MRS
Other - First Name:MARIA
Other - Middle Name:ESTER
Other - Last Name:BARAJAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:306 DURER DR
Mailing Address - Street 2:
Mailing Address - City:PATTERSON
Mailing Address - State:CA
Mailing Address - Zip Code:95363-8319
Mailing Address - Country:US
Mailing Address - Phone:209-505-3220
Mailing Address - Fax:
Practice Address - Street 1:251 E HACKETT RD
Practice Address - Street 2:
Practice Address - City:MODESTO
Practice Address - State:CA
Practice Address - Zip Code:95358-9800
Practice Address - Country:US
Practice Address - Phone:209-558-2352
Practice Address - Fax:209-558-3962
Is Sole Proprietor?:No
Enumeration Date:2020-07-15
Last Update Date:2021-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAPCC7856101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional