Sanicola, Mary Ellen

Sanicola, Mary Ellen is an individual health care provider with primary practice located at 914 Mission Ave , San Rafael CA 94901-6106. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Sanicola, Mary Ellen can be contacted via phone (415) 457-6964.

Contact Information

Primary practice address
914 Mission Ave San Rafael CA 94901-6106
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1962568089
LBN Legal business name Sanicola, Mary Ellen
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 1st, 2007
Last updated Jul 8th, 2007 - about 17 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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