Carlos, Mara Lena
Carlos, Mara Lena is an individual health care provider with primary practice located at 1612 E Southern Ave , Phoenix AZ 85040-3534. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Carlos, Mara Lena can be contacted via phone (520) 907-1437.Contact Information
Primary practice address
1612 E Southern Ave
Phoenix AZ 85040-3534
Phone: (520) 907-1437
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | Arizona |
Profile Details
| NPI number | 1346952132 |
|---|---|
| LBN Legal business name | Carlos, Mara Lena |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 23rd, 2022 |
| Last updated | Dec 23rd, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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