Provider Demographics
NPI:1417489907
Name:GODINEZ, YAZMINE ALVARADO (LMFT)
Entity Type:Individual
Prefix:
First Name:YAZMINE
Middle Name:ALVARADO
Last Name:GODINEZ
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:YASMINE
Other - Middle Name:
Other - Last Name:ALVARADO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMFT CANDIDATE
Mailing Address - Street 1:12011 W. LOWRY ROAD
Mailing Address - Street 2:
Mailing Address - City:CLAREMORE
Mailing Address - State:OK
Mailing Address - Zip Code:74017-3737
Mailing Address - Country:US
Mailing Address - Phone:918-704-7386
Mailing Address - Fax:918-342-0087
Practice Address - Street 1:12011 W. LOWRY ROAD
Practice Address - Street 2:
Practice Address - City:CLAREMORE
Practice Address - State:OK
Practice Address - Zip Code:74017-3737
Practice Address - Country:US
Practice Address - Phone:918-704-7386
Practice Address - Fax:918-342-0087
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-03
Last Update Date:2024-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist