Provider Demographics
NPI:1700373776
Name:CARR, SNEHA MAGAN (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:SNEHA
Middle Name:MAGAN
Last Name:CARR
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11606 MAGNOLIA AVE
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92505-2946
Mailing Address - Country:US
Mailing Address - Phone:951-358-3400
Mailing Address - Fax:
Practice Address - Street 1:4160 TEMESCAL CANYON RD STE 401
Practice Address - Street 2:
Practice Address - City:CORONA
Practice Address - State:CA
Practice Address - Zip Code:92883-4626
Practice Address - Country:US
Practice Address - Phone:818-253-1275
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-16
Last Update Date:2022-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA105080106H00000X
CALMFT131850106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist