Provider Demographics
NPI:1952505000
Name:BARRAZA, CHRISTINA DENISE (COUNSELOR INTERN)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:DENISE
Last Name:BARRAZA
Suffix:
Gender:M
Credentials:COUNSELOR INTERN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13707 DOTY AVE APT 32
Mailing Address - Street 2:
Mailing Address - City:HAWTHORNE
Mailing Address - State:CA
Mailing Address - Zip Code:90250-7552
Mailing Address - Country:US
Mailing Address - Phone:310-679-9039
Mailing Address - Fax:
Practice Address - Street 1:637 E ALBERTONI ST
Practice Address - Street 2:SUITE 200
Practice Address - City:CARSON
Practice Address - State:CA
Practice Address - Zip Code:90746-1539
Practice Address - Country:US
Practice Address - Phone:310-217-0616
Practice Address - Fax:310-217-0545
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)