Provider Demographics
NPI:1659433597
Name:PARRAZ, LUPE CARDENAS (LCSW)
Entity Type:Individual
Prefix:MS
First Name:LUPE
Middle Name:CARDENAS
Last Name:PARRAZ
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:275 S MADERA AVE
Mailing Address - Street 2:SUITE 400
Mailing Address - City:KERMAN
Mailing Address - State:CA
Mailing Address - Zip Code:93630-1403
Mailing Address - Country:US
Mailing Address - Phone:559-846-7500
Mailing Address - Fax:559-846-5892
Practice Address - Street 1:275 S MADERA AVE
Practice Address - Street 2:SUITE 400
Practice Address - City:KERMAN
Practice Address - State:CA
Practice Address - Zip Code:93630-1403
Practice Address - Country:US
Practice Address - Phone:559-846-7500
Practice Address - Fax:559-846-5892
Is Sole Proprietor?:No
Enumeration Date:2006-12-15
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS15583101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA77702204ZMedicare UPIN