Provider Demographics
NPI:1841709227
Name:CHAVARRIA, CLAIRE YVETTE
Entity type:Individual
Prefix:
First Name:CLAIRE
Middle Name:YVETTE
Last Name:CHAVARRIA
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:CLAIRE
Other - Middle Name:Y
Other - Last Name:COLON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2795 E BIDWELL ST STE 100-122
Mailing Address - Street 2:
Mailing Address - City:FOLSOM
Mailing Address - State:CA
Mailing Address - Zip Code:95630-6480
Mailing Address - Country:US
Mailing Address - Phone:916-905-0341
Mailing Address - Fax:530-622-5800
Practice Address - Street 1:2795 E BIDWELL ST STE 100-122
Practice Address - Street 2:
Practice Address - City:FOLSOM
Practice Address - State:CA
Practice Address - Zip Code:95630-6480
Practice Address - Country:US
Practice Address - Phone:916-905-0341
Practice Address - Fax:530-622-5800
Is Sole Proprietor?:No
Enumeration Date:2017-09-28
Last Update Date:2023-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CALMFT353019OtherBOARD OF BEHAVIORAL SCIENCES