Mugica, Marisa Monique
Mugica, Marisa Monique is an individual health care provider with primary practice located at 233 Base Line Rd , La Verne CA 91750-2353. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Mugica, Marisa Monique can be contacted via phone (909) 593-2581.Contact Information
Primary practice address
233 Base Line Rd
La Verne CA 91750-2353
Phone: (909) 593-2581
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 23951 | California |
Profile Details
| NPI number | 1942334099 |
|---|---|
| LBN Legal business name | Mugica, Marisa Monique |
| Credentials | ASW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 14th, 2007 |
| Last updated | Sep 18th, 2008 - about 18 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 | 1942334099 | NPPES |
| California | Other | 7565A | OUTPATIENT MENTAL HEALTH |
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