Mugica, Marisa Monique

Mugica, Marisa Monique is an individual health care provider with primary practice located at 233 Base Line Rd , La Verne CA 91750-2353. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Mugica, Marisa Monique can be contacted via phone (909) 593-2581.

Contact Information

Primary practice address
233 Base Line Rd La Verne CA 91750-2353
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 23951 California

Profile Details

NPI number 1942334099
LBN Legal business name Mugica, Marisa Monique
Credentials ASW
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2007
Last updated Sep 18th, 2008 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1942334099 NPPES
California Other 7565A OUTPATIENT MENTAL HEALTH

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