| Doctor Name: | MITCHICA MCNEAIR |
| NPI Number: | 1083813216 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | 23486 |
| Business Practice Address: | 3503 Cromwell Ct Perris, CA - 925717345 |
| Business Phone Number: | 9519430869 |
| Business Fax Number: | 9526743448 |
| Mailing Address: | 1040 S Mount Vernon Ave, Ste. G-102 COLTON |
| State: | CA |
| Postal Code: | 923244228 |
| Phone Number: | 9513473630 |
| Fax Number: | 9526743448 |
| NPI Enumeration Date: | 07/17/2007 |
| NPI Last Update Date: | 08/12/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 23486 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |