Goverman, Mara Stacey

Goverman, Mara Stacey is an sole proprietor health care provider with primary practice located at 415 N Highway 101 Suite C, Solana Beach CA 92075-1172. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Goverman, Mara Stacey can be contacted via phone (619) 840-0015.

Contact Information

Primary practice address
415 N Highway 101 Suite C Solana Beach CA 92075-1172
Phone: (619) 840-0015
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 25944 California
Behavioral Health & Social Service Providers / Clinical 1041C0700X 25944 California

Profile Details

NPI number 1316271158
LBN Legal business name Goverman, Mara Stacey
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 27th, 2009
Last updated Sep 27th, 2009 - about 17 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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