Provider Demographics
NPI:1770870313
Name:VARGAS CARDENAS, CLAUDIA ISABEL (APCC)
Entity type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:ISABEL
Last Name:VARGAS CARDENAS
Suffix:
Gender:F
Credentials:APCC
Other - Prefix:
Other - First Name:CLAUDIA
Other - Middle Name:ISABEL
Other - Last Name:VARGAS-SITTARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3270 KERNER BLVD
Mailing Address - Street 2:
Mailing Address - City:SAN RAFAEL
Mailing Address - State:CA
Mailing Address - Zip Code:94901-4840
Mailing Address - Country:US
Mailing Address - Phone:415-473-7007
Mailing Address - Fax:415-473-2475
Practice Address - Street 1:3270 KERNER BLVD
Practice Address - Street 2:
Practice Address - City:SAN RAFAEL
Practice Address - State:CA
Practice Address - Zip Code:94901-4840
Practice Address - Country:US
Practice Address - Phone:415-473-7007
Practice Address - Fax:415-473-2475
Is Sole Proprietor?:No
Enumeration Date:2011-07-04
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA15674101YP2500X
CA3765101YM0800X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program