Provider Demographics
NPI:1720124787
Name:CORONA, DEBORAH ARMENDARIZ (LMFT)
Entity Type:Individual
Prefix:MS
First Name:DEBORAH
Middle Name:ARMENDARIZ
Last Name:CORONA
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 1:3056 ROCKY LN
Mailing Address - Street 2:
Mailing Address - City:ONTARIO
Mailing Address - State:CA
Mailing Address - Zip Code:91761-5074
Mailing Address - Country:US
Mailing Address - Phone:909-673-1982
Mailing Address - Fax:909-364-1040
Practice Address - Street 1:4413 RIVERSIDE DR STE F
Practice Address - Street 2:
Practice Address - City:CHINO
Practice Address - State:CA
Practice Address - Zip Code:91710-3949
Practice Address - Country:US
Practice Address - Phone:909-225-0188
Practice Address - Fax:909-364-1040
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-29
Last Update Date:2018-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC18264106H00000X
CAMFC 18264106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist