Mikayla Ariana Blackbear, is a
Counselor - Addiction (substance Use Disorder) based in El Cajon, California. Mikayla Ariana Blackbear is licensed to practice in * (Not Available) (license number ) and her current practice location is
1400 N Johnson Ave Ste 101, El Cajon, California. She can be reached at her office (for appointments etc.) via phone at
(619) 386-1756.
NPI number for Mikayla Ariana Blackbear is 1629847587 and her current mailing address is 1400 N Johnson Ave Ste 101, El Cajon, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1629847587.
Healthcare Provider's Profile
| Full Name | Mikayla Ariana Blackbear |
|---|
| Gender | Female |
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| Speciality | Counselor - Addiction (substance Use Disorder) |
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| Location | 1400 N Johnson Ave Ste 101, El Cajon, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1629847587
- Provider Enumeration Date: 12/20/2023
- Last Update Date: 12/20/2023
Medical Identifiers
Medical identifiers for Mikayla Ariana Blackbear such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1629847587 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC2200X | Psychologist - Clinical Child & Adolescent | (* (Not Available)) | Secondary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mikayla Ariana Blackbear is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mikayla Ariana Blackbear,
1400 N Johnson Ave Ste 101,
El Cajon, CA 92020-1651
Ph: () - | Mikayla Ariana Blackbear,
1400 N Johnson Ave Ste 101,
El Cajon, CA 92020-1651
Ph: (619) 386-1756 |
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