Healthcare Provider Details

I. General information

NPI: 1457139032
Provider Name (Legal Business Name): BIANCA ANGELICA COBARRUVIAS MA, LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/15/2023
Last Update Date: 08/01/2026
Certification Date: 08/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

118 S B ST OFC 2
OXNARD CA
93030-5624
US

IV. Provider business mailing address

PO BOX 25
OXNARD CA
93032-0025
US

V. Phone/Fax

Practice location:
  • Phone: 805-814-5754
  • Fax:
Mailing address:
  • Phone: 805-814-5754
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number133046
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number11420
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: