Provider Demographics
NPI:1477727279
Name:CORDOVA, YAHNIA MERCEDES (LMFT119576)
Entity Type:Individual
Prefix:MRS
First Name:YAHNIA
Middle Name:MERCEDES
Last Name:CORDOVA
Suffix:
Gender:F
Credentials:LMFT119576
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11855 RIVES AVE
Mailing Address - Street 2:
Mailing Address - City:DOWNEY
Mailing Address - State:CA
Mailing Address - Zip Code:90241-4738
Mailing Address - Country:US
Mailing Address - Phone:323-630-9996
Mailing Address - Fax:
Practice Address - Street 1:801 E. CHAPMAN AVE #203
Practice Address - Street 2:
Practice Address - City:FULLERTON
Practice Address - State:CA
Practice Address - Zip Code:92831-3839
Practice Address - Country:US
Practice Address - Phone:714-680-9000
Practice Address - Fax:714-680-8233
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-14
Last Update Date:2023-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
CA65741106H00000X
CA119576106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health