Mancera, Katherine Alexandra

Mancera, Katherine Alexandra is an individual health care provider with primary practice located at 171 Carlos Dr , San Rafael CA 94903-2005. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Mancera, Katherine Alexandra can be contacted via phone (646) 346-9568.

Contact Information

Primary practice address
171 Carlos Dr San Rafael CA 94903-2005
Phone: (646) 346-9568
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / School 101YS0200X
Behavioral Health & Social Service Providers / School 103TS0200X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X AMFT122960 California

Profile Details

NPI number 1760005060
LBN Legal business name Mancera, Katherine Alexandra
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2020
Last updated Nov 9th, 2020 - about 4 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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