Provider Demographics
NPI:1639596703
Name:HASELRIG, FRANCHESCA JOUBERT (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:FRANCHESCA
Middle Name:JOUBERT
Last Name:HASELRIG
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:MS
Other - First Name:FRANCHESCA
Other - Middle Name:JOUBERT
Other - Last Name:HASELRIG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMFT
Mailing Address - Street 1:473 E CARNEGIE DRIVE
Mailing Address - Street 2:STE 200
Mailing Address - City:SAN BERNARDINO
Mailing Address - State:CA
Mailing Address - Zip Code:92408-4201
Mailing Address - Country:US
Mailing Address - Phone:760-208-2797
Mailing Address - Fax:855-964-1168
Practice Address - Street 1:473 E CARNEGIE DRIVE
Practice Address - Street 2:STE 200
Practice Address - City:SAN BERNARDINO
Practice Address - State:CA
Practice Address - Zip Code:92408-4201
Practice Address - Country:US
Practice Address - Phone:760-208-2797
Practice Address - Fax:855-964-1168
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-26
Last Update Date:2019-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA113493106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist