Provider Demographics
NPI:1346352929
Name:DEMARCO, VERONICA ANA (MFT)
Entity Type:Individual
Prefix:MS
First Name:VERONICA
Middle Name:ANA
Last Name:DEMARCO
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:MS
Other - First Name:VERONICA
Other - Middle Name:ANA
Other - Last Name:DEMARCO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MFT
Mailing Address - Street 1:540 N GOLDEN CIRCLE DR STE 203
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92705-3914
Mailing Address - Country:US
Mailing Address - Phone:714-836-7928
Mailing Address - Fax:714-836-1292
Practice Address - Street 1:30131 TOWN CENTER DR. STE 235
Practice Address - Street 2:SAME AS MAILING ADDRESS
Practice Address - City:LAGUNA NIGUEL
Practice Address - State:CA
Practice Address - Zip Code:92677
Practice Address - Country:US
Practice Address - Phone:714-836-7928
Practice Address - Fax:714-836-1292
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2011-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC25430101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health