Provider Demographics
NPI:1770618639
Name:JAUREQUI, BARBARA A (MS,LMFT,MAC)
Entity type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:A
Last Name:JAUREQUI
Suffix:
Gender:F
Credentials:MS,LMFT,MAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8300 UTICA AVE
Mailing Address - Street 2:SUITE 159
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91730
Mailing Address - Country:US
Mailing Address - Phone:909-944-6611
Mailing Address - Fax:
Practice Address - Street 1:8300 UTICA AVE
Practice Address - Street 2:SUITE 159
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91730
Practice Address - Country:US
Practice Address - Phone:909-944-6611
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-22
Last Update Date:2011-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 45938106H00000X
CAMFC45938106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist