Provider Demographics
NPI:1821148446
Name:LERMA, IRMA R (LMFT)
Entity Type:Individual
Prefix:
First Name:IRMA
Middle Name:R
Last Name:LERMA
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 1:3725 LONE TREE WAY STE A-13725
Mailing Address - Street 2:
Mailing Address - City:ANTIOCH
Mailing Address - State:CA
Mailing Address - Zip Code:94509-6064
Mailing Address - Country:US
Mailing Address - Phone:925-754-9696
Mailing Address - Fax:925-756-1337
Practice Address - Street 1:3725 LONE TREE WAY STE A-13725
Practice Address - Street 2:
Practice Address - City:ANTIOCH
Practice Address - State:CA
Practice Address - Zip Code:94509-6064
Practice Address - Country:US
Practice Address - Phone:925-754-9696
Practice Address - Fax:925-756-1337
Is Sole Proprietor?:No
Enumeration Date:2007-01-12
Last Update Date:2023-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC31359106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist