Provider Demographics
NPI:1730660911
Name:LOZANO, CLAUDIA LIRIO (AMFT)
Entity Type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:LIRIO
Last Name:LOZANO
Suffix:
Gender:F
Credentials:AMFT
Other - Prefix:
Other - First Name:CLAUDIA
Other - Middle Name:LIRIO
Other - Last Name:CARRUTHERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2400 WASHINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96001-2802
Mailing Address - Country:US
Mailing Address - Phone:530-247-3378
Mailing Address - Fax:530-247-3383
Practice Address - Street 1:2400 WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96001-2802
Practice Address - Country:US
Practice Address - Phone:530-247-3378
Practice Address - Fax:530-247-3383
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-24
Last Update Date:2018-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA108576101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health