Provider Demographics
NPI:1902414220
Name:SIERRA BELTRAN, CINTHIA G
Entity Type:Individual
Prefix:
First Name:CINTHIA
Middle Name:G
Last Name:SIERRA BELTRAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:CINTHIA OR CYNTHIA
Other - Middle Name:
Other - Last Name:SIERRA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 792
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93116-0792
Mailing Address - Country:US
Mailing Address - Phone:805-729-1208
Mailing Address - Fax:
Practice Address - Street 1:324 E CARRILLO ST STE C
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93101-7439
Practice Address - Country:US
Practice Address - Phone:805-963-7777
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-22
Last Update Date:2020-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA120352106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist