Mondaca, Marisol Roxana

Mondaca, Marisol Roxana is an sole proprietor health care provider with primary practice located at 232 Norwood Ave Suite 5, West Long Branch NJ 07764-1859. 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 / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Mondaca, Marisol Roxana can be contacted via phone (732) 403-1377.

Contact Information

Primary practice address
232 Norwood Ave Suite 5 West Long Branch NJ 07764-1859
Phone: (732) 403-1377
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 37LC00135800 New Jersey
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 37PC00352800 New Jersey

Profile Details

NPI number 1528206273
LBN Legal business name Mondaca, Marisol Roxana
Credentials LPC, LCADC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 2nd, 2009
Last updated Feb 2nd, 2009 - about 16 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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