Rico, Mary Ellen

Rico, Mary Ellen is an individual health care provider with primary practice located at 10333 El Camino Real , Atascadero CA 93422-5808. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Rico, Mary Ellen can be contacted via phone (805) 468-2785.

Contact Information

Primary practice address
10333 El Camino Real Atascadero CA 93422-5808
Phone: (805) 468-2785
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCSW64976 California

Profile Details

NPI number 1417142712
LBN Legal business name Rico, Mary Ellen
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 10th, 2007
Last updated Aug 21st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417142712 NPPES
California Other 42446 UNICARE

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