Doctor Name: | MR. MICHAEL P MAYS |
NPI Number: | 1225247273 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | CADCA, CAMF |
License Number: | I2012106 |
Business Practice Address: | 13333 3rd St Apt# 11 Yucaipa, CA - 923995032 |
Business Phone Number: | 9097029492 |
Business Fax Number: | |
Mailing Address: | 13333 3rd St, Apt# 11 YUCAIPA |
State: | CA |
Postal Code: | 923995032 |
Phone Number: | 9097029492 |
Fax Number: | |
NPI Enumeration Date: | 05/22/2007 |
NPI Last Update Date: | 12/09/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | I2012106 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |