Casal Porto, Maria

Casal Porto, Maria is an individual health care provider with primary practice located at 13395 N Marana Main St Bldg B , Marana AZ 85653-7008. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Casal Porto, Maria can be contacted via phone (520) 682-1091.

Contact Information

Primary practice address
13395 N Marana Main St Bldg B Marana AZ 85653-7008
Fax: (520) 682-4132
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X LAC18044 Arizona
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC-21456 Arizona

Profile Details

NPI number 1508470402
LBN Legal business name Casal Porto, Maria
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2020
Last updated Jan 4th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1508470402 NPPES
Arizona MEDICAID 572555
Arizona MEDICAID 147462

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