Mariposa Therapy, Licensed Clinical Social Worker, A Professional Corp | |
473 S Carnegie Dr Ste 200 San Bernardino CA 92408-4201 | |
(909) 816-7421 | |
Not Available |
Full Name | Mariposa Therapy, Licensed Clinical Social Worker, A Professional Corp |
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Speciality | Counselor - Mental Health |
Location | 473 S Carnegie Dr Ste 200, San Bernardino, California |
Authorized Official Name and Position | Monica Alexia Jauregui-gomez (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 9098167421 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mariposa Therapy, Licensed Clinical Social Worker, A Professional Corp 473 S Carnegie Dr Ste 200 San Bernardino CA 92408-4201 Ph: (909) 816-7421 | Mariposa Therapy, Licensed Clinical Social Worker, A Professional Corp 473 S Carnegie Dr Ste 200 San Bernardino CA 92408-4201 Ph: (909) 816-7421 |
NPI Number | 1548003403 |
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Provider Enumeration Date | 06/17/2024 |
Last Update Date | 06/17/2024 |
Certification Date | 06/17/2024 |
Identifier | Type | State | Issuer |
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1548003403 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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