Provider Demographics
NPI:1558591230
Name:FRAZIER-YZAGUIRRE, CLAIRE ELAINE (MFT)
Entity Type:Individual
Prefix:MRS
First Name:CLAIRE
Middle Name:ELAINE
Last Name:FRAZIER-YZAGUIRRE
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2061 BUSINESS CENTER DR STE 101
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92612-1107
Mailing Address - Country:US
Mailing Address - Phone:949-851-1572
Mailing Address - Fax:
Practice Address - Street 1:2061 BUSINESS CENTER DR STE 101
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92612-1107
Practice Address - Country:US
Practice Address - Phone:949-851-1572
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-16
Last Update Date:2009-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT 27798106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist