Provider Demographics
NPI:1477642775
Name:FICERE, IRMA ISELA (LMFT)
Entity Type:Individual
Prefix:MS
First Name:IRMA
Middle Name:ISELA
Last Name:FICERE
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 1:40925 COUNTY CENTER DR.
Mailing Address - Street 2:SUITE 200
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92591-3704
Mailing Address - Country:US
Mailing Address - Phone:951-600-6300
Mailing Address - Fax:951-600-6377
Practice Address - Street 1:40925 COUNTY CENTER DR.
Practice Address - Street 2:SUITE 200
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92591-3704
Practice Address - Country:US
Practice Address - Phone:951-600-6300
Practice Address - Fax:951-600-6377
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2023-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA92530106H00000X
CA92350106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist