Provider Demographics
NPI:1477953255
Name:GARCIA, SALVADOR J (LMFT)
Entity Type:Individual
Prefix:
First Name:SALVADOR
Middle Name:J
Last Name:GARCIA
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:42 DUET
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92603-4216
Mailing Address - Country:US
Mailing Address - Phone:714-227-0678
Mailing Address - Fax:
Practice Address - Street 1:42 DUET
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92603-4216
Practice Address - Country:US
Practice Address - Phone:714-227-0678
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-28
Last Update Date:2014-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA8306106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist