Doctor Name: | MRS. MARILYN MERCADO |
NPI Number: | 1669771200 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MFTT |
License Number: | |
Business Practice Address: | 6800 Owensmouth Ave 310 Canoga Park, CA - 913033159 |
Business Phone Number: | 8183478565 |
Business Fax Number: | 8183470506 |
Mailing Address: | 6800 Owensmouth Ave, 310 CANOGA PARK |
State: | CA |
Postal Code: | 913033159 |
Phone Number: | 8183478565 |
Fax Number: | 8183470506 |
NPI Enumeration Date: | 03/22/2011 |
NPI Last Update Date: | 03/22/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |