Corona, Mireya

Corona, Mireya is an individual health care provider with primary practice located at 14535 Sherman Cir , Van Nuys CA 91405-3087. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Corona, Mireya can be contacted via phone (818) 901-4930.

Contact Information

Primary practice address
14535 Sherman Cir Van Nuys CA 91405-3087
Phone: (818) 901-4930
Fax: (818) 785-4118
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X IMF75607 California
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 97025 California

Profile Details

NPI number 1356697429
LBN Legal business name Corona, Mireya
Credentials M.A., LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2012
Last updated Apr 24th, 2017 - about 8 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 1356697429 NPPES
California MEDICAID 7420
California MEDICAID 7068

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