Provider Demographics
NPI:1821647116
Name:BARBOZA, KOREY YVONNE (MA, LMFT156795)
Entity type:Individual
Prefix:
First Name:KOREY
Middle Name:YVONNE
Last Name:BARBOZA
Suffix:
Gender:F
Credentials:MA, LMFT156795
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 132
Mailing Address - Street 2:
Mailing Address - City:CUTTEN
Mailing Address - State:CA
Mailing Address - Zip Code:95534-0132
Mailing Address - Country:US
Mailing Address - Phone:530-238-5573
Mailing Address - Fax:
Practice Address - Street 1:2395 BECHELLI LN STE B
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96002-0156
Practice Address - Country:US
Practice Address - Phone:530-238-5573
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-09
Last Update Date:2025-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA156795106H00000X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist