MEDICARE: MRS. MARISOL SERRATO SABAJ APCC

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
1	101YM0800X	Mental Health Counselor	20750	CA

General Provider Information

NPI Number	:	1598590796
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MARISOL SERRATO SABAJ APCC

Provider Business Mailing Address
First Line	:	27851 BRADLEY RD STE 160
Second Line	:
City	:	MENIFEE
State	:	CA
Zip	:	92586-2244
Country	:	US
Telephone Number	:	951-297-7714
Fax Number	:

Provider Business Practice Location Address
First Line	:	27851 BRADLEY RD STE 160
Second Line	:
City	:	MENIFEE
State	:	CA
Zip	:	92586-2244
Country	:	US
Telephone Number	:	951-297-7714
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/06/2024
Last Update Date	:	12/04/2025

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