Marsolais, Miriam
Marsolais, Miriam is an sole proprietor health care provider with primary practice located at 376 Colusa Ave , Kensington CA 94707-1213. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Adult Development & Aging, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Health Service, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Marsolais, Miriam can be contacted via phone (510) 525-0244.Contact Information
Primary practice address
376 Colusa Ave
Kensington CA 94707-1213
Phone: (510) 525-0244
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Adult Development & Aging | 103TA0700X | PSY18619 | California |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY18619 | California |
| Behavioral Health & Social Service Providers / Health Service | 103TH0100X | PSY18619 | California |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PSY18619 | California |
Profile Details
| NPI number | 1912059973 |
|---|---|
| LBN Legal business name | Marsolais, Miriam |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 18th, 2007 |
| Last updated | Mar 17th, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912059973 | NPPES |
| California | Other | 01474304 | MEDICAL ALAMEDA COUNTY |
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