Provider Demographics
NPI:1639528706
Name:GARCIA NAVA, FLOR YARELY (MA)
Entity Type:Individual
Prefix:
First Name:FLOR
Middle Name:YARELY
Last Name:GARCIA NAVA
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13318 CAULFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:CA
Mailing Address - Zip Code:90650-3351
Mailing Address - Country:US
Mailing Address - Phone:323-702-7418
Mailing Address - Fax:
Practice Address - Street 1:13318 CAULFIELD AVE
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:CA
Practice Address - Zip Code:90650-3351
Practice Address - Country:US
Practice Address - Phone:323-702-7418
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-08
Last Update Date:2020-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAIMF88404101YM0800X
CALMFT123714106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health