Provider Demographics
NPI:1871671263
Name:FLORES-RIFFEL, ANA JULIA (LCSW)
Entity type:Individual
Prefix:MRS
First Name:ANA
Middle Name:JULIA
Last Name:FLORES-RIFFEL
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:202 N RIMHURST AVE
Mailing Address - Street 2:
Mailing Address - City:COVINA
Mailing Address - State:CA
Mailing Address - Zip Code:91724-2937
Mailing Address - Country:US
Mailing Address - Phone:626-483-7079
Mailing Address - Fax:626-966-6600
Practice Address - Street 1:1037 N GRAND AVE
Practice Address - Street 2:166
Practice Address - City:COVINA
Practice Address - State:CA
Practice Address - Zip Code:91724-2048
Practice Address - Country:US
Practice Address - Phone:626-483-7079
Practice Address - Fax:626-966-6600
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA74181041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical