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NPI Code Detail

MEDICARE: MINA YOUSSEF LCSW

MEDICARE: MINA YOUSSEF LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker95025CA

General Provider Information

NPI Number : 1316562390
Entity Type Code : Individual
Provider Name (Legal Business Name) : MINA YOUSSEF LCSW
Provider Business Mailing Address
First Line : 4280 LATHAM ST STE G
Second Line :
City : RIVERSIDE
State : CA
Zip : 92501-1737
Country : US
Telephone Number : 909-235-5662
Fax Number : 909-235-6019
Provider Business Practice Location Address
First Line : 3633 INLAND EMPIRE BLVD STE 777
Second Line :
City : ONTARIO
State : CA
Zip : 91764-7974
Country : US
Telephone Number : 909-295-5805
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2020
Last Update Date : 10/31/2025

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Directions to “ MINA YOUSSEF LCSW” Practice Location

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