Provider Demographics
NPI:1538424197
Name:BARRERA, JAZMIN XIOMARA (LMFT)
Entity type:Individual
Prefix:
First Name:JAZMIN
Middle Name:XIOMARA
Last Name:BARRERA
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 1:3334 SAN BRUNO AVE
Mailing Address - Street 2:APT. #1
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94134-2014
Mailing Address - Country:US
Mailing Address - Phone:415-261-1912
Mailing Address - Fax:
Practice Address - Street 1:2403 KEITH STREET
Practice Address - Street 2:
Practice Address - City:SF
Practice Address - State:CA
Practice Address - Zip Code:94134
Practice Address - Country:US
Practice Address - Phone:628-217-7000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-10
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT141145106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist