Provider Demographics
NPI:1811670060
Name:WAHRMANN, ELINOR EUGENIA (LMFT)
Entity type:Individual
Prefix:
First Name:ELINOR
Middle Name:EUGENIA
Last Name:WAHRMANN
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:PO BOX 3653
Mailing Address - Street 2:
Mailing Address - City:LOS ALTOS
Mailing Address - State:CA
Mailing Address - Zip Code:94024-0653
Mailing Address - Country:US
Mailing Address - Phone:650-770-3427
Mailing Address - Fax:
Practice Address - Street 1:885 N SAN ANTONIO RD
Practice Address - Street 2:
Practice Address - City:LOS ALTOS
Practice Address - State:CA
Practice Address - Zip Code:94022-1371
Practice Address - Country:US
Practice Address - Phone:650-770-3427
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-14
Last Update Date:2023-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA107493106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist