Provider Demographics
NPI:1568640282
Name:FIERRO, MARIA ELENA BORJON (COUNSELOR)
Entity Type:Individual
Prefix:MRS
First Name:MARIA ELENA
Middle Name:BORJON
Last Name:FIERRO
Suffix:
Gender:F
Credentials:COUNSELOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1745 S IMPERIAL AVE
Mailing Address - Street 2:STE 112
Mailing Address - City:EL CENTRO
Mailing Address - State:CA
Mailing Address - Zip Code:92243-4243
Mailing Address - Country:US
Mailing Address - Phone:760-312-9817
Mailing Address - Fax:760-312-9824
Practice Address - Street 1:1745 S IMPERIAL AVE
Practice Address - Street 2:STE 112
Practice Address - City:EL CENTRO
Practice Address - State:CA
Practice Address - Zip Code:92243-4243
Practice Address - Country:US
Practice Address - Phone:760-312-9817
Practice Address - Fax:760-312-9824
Is Sole Proprietor?:No
Enumeration Date:2008-02-05
Last Update Date:2008-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA01-054661101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)