Provider Demographics
NPI:1508108549
Name:CLAUDIA BARRAZA
Entity Type:Organization
Organization Name:CLAUDIA BARRAZA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MARRIAGE AND FAMILY THERAPIST INTER
Authorized Official - Prefix:
Authorized Official - First Name:CLAUDIA
Authorized Official - Middle Name:
Authorized Official - Last Name:BARRAZA
Authorized Official - Suffix:
Authorized Official - Credentials:MFT INTERN
Authorized Official - Phone:702-882-9220
Mailing Address - Street 1:4650 N RAINBOW BLVD
Mailing Address - Street 2:APT. 1049
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89108-5757
Mailing Address - Country:US
Mailing Address - Phone:702-882-9220
Mailing Address - Fax:
Practice Address - Street 1:720 S JONES BLVD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89107-3614
Practice Address - Country:US
Practice Address - Phone:702-331-4874
Practice Address - Fax:702-446-8034
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-16
Last Update Date:2013-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVM10290302R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization