Mitchell, Mavernie
Mitchell, Mavernie is an sole proprietor health care provider with primary practice located at 4960 Arlington Ave Suite B, Riverside CA 92504-2738. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Mitchell, Mavernie can be contacted via phone (951) 341-8930.Contact Information
Primary practice address
4960 Arlington Ave Suite B
Riverside CA 92504-2738
Phone: (951) 341-8930
Fax: (951) 341-8932
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 18030 | California |
Profile Details
| NPI number | 1952318446 |
|---|---|
| LBN Legal business name | Mitchell, Mavernie |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 1st, 2006 |
| Last updated | Apr 12th, 2017 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952318446 | NPPES |
| California | Other | 18030 | STATE LICENSE |
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