Provider Demographics
NPI:1558675124
Name:BARRAGAN, LAURA ESCALONA
Entity Type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:ESCALONA
Last Name:BARRAGAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27451 TOURNEY RD STE 120
Mailing Address - Street 2:
Mailing Address - City:VALENCIA
Mailing Address - State:CA
Mailing Address - Zip Code:91355-6304
Mailing Address - Country:US
Mailing Address - Phone:818-208-1979
Mailing Address - Fax:866-536-5182
Practice Address - Street 1:27451 TOURNEY RD STE 120
Practice Address - Street 2:
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91355-6304
Practice Address - Country:US
Practice Address - Phone:818-208-1979
Practice Address - Fax:866-536-5182
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-05
Last Update Date:2024-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS 286121041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical