Provider Demographics
NPI:1508264334
Name:FLORES, ANALIN ALTAGRACIA (LMFT)
Entity Type:Individual
Prefix:
First Name:ANALIN
Middle Name:ALTAGRACIA
Last Name:FLORES
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:ANALIN
Other - Middle Name:ALTAGRACIA
Other - Last Name:ESTEVEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 2741
Mailing Address - Street 2:
Mailing Address - City:WINNETKA
Mailing Address - State:CA
Mailing Address - Zip Code:91396-2741
Mailing Address - Country:US
Mailing Address - Phone:818-257-1470
Mailing Address - Fax:
Practice Address - Street 1:7038 OWENSMOUTH AVE
Practice Address - Street 2:
Practice Address - City:CANOGA PARK
Practice Address - State:CA
Practice Address - Zip Code:91303
Practice Address - Country:US
Practice Address - Phone:818-347-8565
Practice Address - Fax:818-347-0506
Is Sole Proprietor?:No
Enumeration Date:2014-12-10
Last Update Date:2018-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
CA108171106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health