Provider Demographics
NPI:1205975307
Name:VOLBERDING, ALFREDA LOUISE (MARITAL FAMILY THERA)
Entity type:Individual
Prefix:MRS
First Name:ALFREDA
Middle Name:LOUISE
Last Name:VOLBERDING
Suffix:
Gender:F
Credentials:MARITAL FAMILY THERA
Other - Prefix:
Other - First Name:FREDI
Other - Middle Name:
Other - Last Name:VOLBERDING MFT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MARITAL FAMILY THERA
Mailing Address - Street 1:19742 MACARTHUR BLVD
Mailing Address - Street 2:STE 145
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92612
Mailing Address - Country:US
Mailing Address - Phone:949-476-8221
Mailing Address - Fax:949-759-1681
Practice Address - Street 1:19742 MACARTHUR BLVD
Practice Address - Street 2:STE 145
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92612
Practice Address - Country:US
Practice Address - Phone:949-476-8221
Practice Address - Fax:949-759-1681
Is Sole Proprietor?:No
Enumeration Date:2007-02-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT 29745106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist