Mirasola, Lyndsy Marie
Mirasola, Lyndsy Marie is an individual health care provider with primary practice located at 11291 Dray Coury , Grass Valley CA 95945-9594. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Mirasola, Lyndsy Marie can be contacted via phone (530) 205-3130.Contact Information
Primary practice address
11291 Dray Coury
Grass Valley CA 95945-9594
Phone: (530) 205-3130
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Counselor | 101Y00000X | ||
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 63657 | California |
Behavioral Health & Social Service Providers / Social Worker | 104100000X | ASW63657 | California |
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | ASW63657 | California |
Profile Details
NPI number | 1053719138 |
---|---|
LBN Legal business name | Mirasola, Lyndsy Marie |
Credentials | Licensed Clinical Social Worker (LCSW) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 5th, 2014 |
Last updated | Dec 16th, 2022 - about 2 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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