Provider Demographics
NPI:1356622351
Name:HASKEL, CLAUDIA (LMFT)
Entity type:Individual
Prefix:MS
First Name:CLAUDIA
Middle Name:
Last Name:HASKEL
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:MS
Other - First Name:CLAUDIA
Other - Middle Name:
Other - Last Name:HASKEL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMFT
Mailing Address - Street 1:930 MENDOCINO AVENUE
Mailing Address - Street 2:SUITE 205
Mailing Address - City:SANTA ROSA
Mailing Address - State:CA
Mailing Address - Zip Code:95401-4864
Mailing Address - Country:US
Mailing Address - Phone:707-595-0049
Mailing Address - Fax:833-974-1491
Practice Address - Street 1:930 MENDOCINO AVENUE
Practice Address - Street 2:SUITE 205
Practice Address - City:SANTA ROSA
Practice Address - State:CA
Practice Address - Zip Code:95401-4864
Practice Address - Country:US
Practice Address - Phone:707-595-0049
Practice Address - Fax:833-974-1491
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-02
Last Update Date:2024-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC83224106H00000X
CALMFT83224106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist