Miyakawa, Kelly Fierro

Miyakawa, Kelly Fierro is an sole proprietor health care provider with primary practice located at 30877 Bloomfest St , Murrieta CA 92563. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Miyakawa, Kelly Fierro can be contacted via phone (909) 720-3591.

Contact Information

Primary practice address
30877 Bloomfest St Murrieta CA 92563
Phone: (909) 720-3591
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Clinical 1041C0700X 88099 California

Profile Details

NPI number 1174907117
LBN Legal business name Miyakawa, Kelly Fierro
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 18th, 2015
Last updated Sep 8th, 2023 - 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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