MACY-ALEXANDRA MAKANA MITRAVICH NPI 1780217331

NPI Information

NPI: 1780217331
Provider Name: MACY-ALEXANDRA MAKANA MITRAVICH
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
474 W VERMONT AVE
ESCONDIDO, CA
ZIP 92025
Phone: (760) 482-2255
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Macy-alexandra Makana Mitravich is a mental health counselor in Escondido, CA. Macy-alexandra Makana Mitravich NPI is 1780217331. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

474 W VERMONT AVE
ESCONDIDO, CA
ZIP 92025-584
Phone: (760) 482-2255

The enumeration date for this NPI number is 2/21/2020 and was last updated on 2/28/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	104100000X	Social Worker				No
2	101YM0800X	Counselor	Mental Health	ASW93920	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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