Provider Demographics
NPI:1437448024
Name:CIENFUEGOS, YVONNE (MSW)
Entity type:Individual
Prefix:
First Name:YVONNE
Middle Name:
Last Name:CIENFUEGOS
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:YVONNE
Other - Middle Name:
Other - Last Name:CIENFUEGOS-MERCADO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSW
Mailing Address - Street 1:4300 LONG BEACH BLVD STE 700
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90807-2000
Mailing Address - Country:US
Mailing Address - Phone:310-783-4677
Mailing Address - Fax:562-256-7126
Practice Address - Street 1:4300 LONG BEACH BLVD STE 700
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90807-2000
Practice Address - Country:US
Practice Address - Phone:310-783-4677
Practice Address - Fax:562-256-7126
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-04
Last Update Date:2011-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health