Mayorga, Laura

Mayorga, Laura is an sole proprietor health care provider with primary practice located at 605 B St , San Rafael CA 94901-3805. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Mayorga, Laura can be contacted via phone (415) 250-1274.

Contact Information

Primary practice address
605 B St San Rafael CA 94901-3805
Phone: (415) 250-1274
Fax: (888) 365-0277
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY19045 California
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X PSY19045 California

Profile Details

NPI number 1356718464
LBN Legal business name Mayorga, Laura
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 24th, 2015
Last updated Aug 24th, 2015 - about 9 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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