Cicila, Larisa Nan

Cicila, Larisa Nan is an individual health care provider with primary practice located at 2535 Camino Del Rio S Ste 106 , San Diego CA 92108-3764. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Family, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Cicila, Larisa Nan can be contacted via phone (619) 940-7774.

Contact Information

Primary practice address
2535 Camino Del Rio S Ste 106 San Diego CA 92108-3764
Phone: (619) 940-7774
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Family 103TF0000X PSY29432 California
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY29432 California

Profile Details

NPI number 1043739915
LBN Legal business name Cicila, Larisa Nan
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2017
Last updated Sep 12th, 2017 - about 7 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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