Provider Demographics
NPI:1811708647
Name:ARCHER, ISABEL (LMFT#152712)
Entity type:Individual
Prefix:
First Name:ISABEL
Middle Name:
Last Name:ARCHER
Suffix:
Gender:F
Credentials:LMFT#152712
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3840 PRINCETON WAY
Mailing Address - Street 2:
Mailing Address - City:LIVERMORE
Mailing Address - State:CA
Mailing Address - Zip Code:94550-3647
Mailing Address - Country:US
Mailing Address - Phone:408-203-2035
Mailing Address - Fax:
Practice Address - Street 1:326 S L ST
Practice Address - Street 2:
Practice Address - City:LIVERMORE
Practice Address - State:CA
Practice Address - Zip Code:94550-4412
Practice Address - Country:US
Practice Address - Phone:408-203-2035
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-20
Last Update Date:2025-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA152712101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty