Provider Demographics
NPI:1275719395
Name:VIADRO, CLAUDIA ANN (MFT)
Entity Type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:ANN
Last Name:VIADRO
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 1:659 CHERRY ST
Mailing Address - Street 2:SUITE 105
Mailing Address - City:SANTA ROSA
Mailing Address - State:CA
Mailing Address - Zip Code:95404-4202
Mailing Address - Country:US
Mailing Address - Phone:707-332-9754
Mailing Address - Fax:707-658-2711
Practice Address - Street 1:659 CHERRY ST
Practice Address - Street 2:SUITE 105
Practice Address - City:SANTA ROSA
Practice Address - State:CA
Practice Address - Zip Code:95404-4202
Practice Address - Country:US
Practice Address - Phone:707-332-9754
Practice Address - Fax:707-658-2711
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-18
Last Update Date:2011-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 41816106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist