Ulate, Mari Liser

Ulate, Mari Liser is an individual health care provider with primary practice located at 1420 S Milliken Ave Ste 508 , Ontario CA 91761-2337. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Ulate, Mari Liser can be contacted via phone (909) 988-2418.

Contact Information

Primary practice address
1420 S Milliken Ave Ste 508 Ontario CA 91761-2337
Phone: (909) 988-2418
Fax: (909) 988-4571
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X

Profile Details

NPI number 1255697942
LBN Legal business name Ulate, Mari Liser
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2012
Last updated Jul 21st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255697942 NPPES
California MEDICAID 95-1946482

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