Provider Demographics
NPI:1881250413
Name:FLORES HARTFORD, MARIBEL (LMFT)
Entity type:Individual
Prefix:MRS
First Name:MARIBEL
Middle Name:
Last Name:FLORES HARTFORD
Suffix:
Gender:
Credentials:LMFT
Other - Prefix:MRS
Other - First Name:MARIBEL
Other - Middle Name:
Other - Last Name:FLORES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AMFT
Mailing Address - Street 1:706 BORA BORA LN.
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93307
Mailing Address - Country:US
Mailing Address - Phone:661-444-7164
Mailing Address - Fax:661-427-0778
Practice Address - Street 1:110 S MONTCLAIR ST STE 206
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93309-3111
Practice Address - Country:US
Practice Address - Phone:820-203-1023
Practice Address - Fax:661-427-0778
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-20
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT131240106H00000X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA92-3664129OtherIRS