Provider Demographics
NPI:1669912366
Name:SIORDIA-RAMIREZ, LILIANA (LMFT)
Entity type:Individual
Prefix:
First Name:LILIANA
Middle Name:
Last Name:SIORDIA-RAMIREZ
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 1:45 W CORRELL RD
Mailing Address - Street 2:
Mailing Address - City:HEBER
Mailing Address - State:CA
Mailing Address - Zip Code:92249-9625
Mailing Address - Country:US
Mailing Address - Phone:760-427-1089
Mailing Address - Fax:
Practice Address - Street 1:251 W MAIN ST STE M
Practice Address - Street 2:
Practice Address - City:BRAWLEY
Practice Address - State:CA
Practice Address - Zip Code:92227-2254
Practice Address - Country:US
Practice Address - Phone:760-849-8358
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-28
Last Update Date:2023-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA98300106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist