Acevedo, Mariela

Acevedo, Mariela is an individual health care provider with primary practice located at 1400 Emeline Ave , Santa Cruz CA 95060-1976. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Acevedo, Mariela can be contacted via phone (831) 454-4900.

Contact Information

Primary practice address
1400 Emeline Ave Santa Cruz CA 95060-1976
Phone: (831) 454-4900
Fax: (831) 454-4663
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X IMF100669 California

Profile Details

NPI number 1356869093
LBN Legal business name Acevedo, Mariela
Credentials MFTI
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2017
Last updated Jul 21st, 2022 - about 2 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 1356869093 NPPES
California Other FHC70042F SANTA CRUZ COUNTY GROUP MEDICAL NUMBER
California Other FHC70044F SANTA CRUZ COUNTY GROUP MEDICAL NUMBER

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