Blackbear, Mikayla Ariana

Blackbear, Mikayla Ariana is an sole proprietor health care provider with primary practice located at 1400 N Johnson Ave Ste 101 , El Cajon CA 92020-1651. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Blackbear, Mikayla Ariana can be contacted via phone (619) 386-1756.

Contact Information

Primary practice address
1400 N Johnson Ave Ste 101 El Cajon CA 92020-1651
Phone: (619) 386-1756
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1629847587
LBN Legal business name Blackbear, Mikayla Ariana
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 20th, 2023
Last updated Dec 20th, 2023 - about last year

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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