Provider Demographics
NPI:1407047731
Name:ENGER, YOSHIMI SIM (LMFT)
Entity Type:Individual
Prefix:MS
First Name:YOSHIMI
Middle Name:SIM
Last Name:ENGER
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 1:26441 CROWN VALLEY PKWY
Mailing Address - Street 2:SUITE 101
Mailing Address - City:MISSION VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92691-8528
Mailing Address - Country:US
Mailing Address - Phone:949-412-4381
Mailing Address - Fax:949-347-0996
Practice Address - Street 1:26441 CROWN VALLEY PKWY
Practice Address - Street 2:SUITE 101
Practice Address - City:MISSION VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92691-8528
Practice Address - Country:US
Practice Address - Phone:949-412-4381
Practice Address - Fax:949-347-0996
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-01
Last Update Date:2007-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA43521106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist