Healthcare Provider Details

I. General information

NPI: 1437409000
Provider Name (Legal Business Name): MONICA GARNICA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/11/2012
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

140 CLIFF AVE
MC FARLAND CA
93250-1604
US

IV. Provider business mailing address

P.O. BOX 1559
BAKERSFIELD CA
93302-1559
US

V. Phone/Fax

Practice location:
  • Phone: 661-322-1021
  • Fax:
Mailing address:
  • Phone: 661-635-3050
  • Fax: 661-326-1347

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberIMF76251
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: