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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 3 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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