Doctor Name: | MS. THERESA L MARINAS |
NPI Number: | 1437356607 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | LCS12375 |
Business Practice Address: | 16940 Highway 14 Suite C Mojave, CA - 935011238 |
Business Phone Number: | 6618245020 |
Business Fax Number: | 6618245026 |
Mailing Address: | 29325 Kimberlina Rd, WASCO |
State: | CA |
Postal Code: | 93280 |
Phone Number: | 6618245020 |
Fax Number: | 6618245026 |
NPI Enumeration Date: | 06/29/2007 |
NPI Last Update Date: | 05/26/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | LCS12375 |
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 |