Myer, Mariko

Myer, Mariko is an sole proprietor health care provider with primary practice located at 1053 Main Ave Suite 109 A, Durango CO 81301-5594. 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. Myer, Mariko can be contacted via phone (970) 903-7601.

Contact Information

Primary practice address
1053 Main Ave Suite 109 A Durango CO 81301-5594
Phone: (970) 903-7601
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X I-05559 New Mexico
Behavioral Health & Social Service Providers / Clinical 1041C0700X CSW 992942 Colorado

Profile Details

NPI number 1457369068
LBN Legal business name Myer, Mariko
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 3rd, 2006
Last updated Nov 27th, 2012 - about 14 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 1457369068 NPPES
New Mexico MEDICAID 671584

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