Minnick, Megan Maria

Minnick, Megan Maria is an individual health care provider with primary practice located at 425 W Bonita Ave Ste 204 , San Dimas CA 91773-2543. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Minnick, Megan Maria can be contacted via phone (562) 665-0226.

Contact Information

Primary practice address
425 W Bonita Ave Ste 204 San Dimas CA 91773-2543
Phone: (562) 665-0226
Fax: (714) 987-3061
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 157 California

Profile Details

NPI number 1033395678
LBN Legal business name Minnick, Megan Maria
Credentials LPCC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 14th, 2008
Last updated Jun 12th, 2018 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1033395678 NPPES
California MEDICAID 1124100383

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