Healthcare Provider Details

I. General information

NPI: 1780241711
Provider Name (Legal Business Name): MISS NATY MARRUFO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/24/2019
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

177 WEBSTER ST STE 291
MONTEREY CA
93940-3119
US

IV. Provider business mailing address

177 WEBSTER ST STE 291
MONTEREY CA
93940-3119
US

V. Phone/Fax

Practice location:
  • Phone: 831-260-7255
  • Fax:
Mailing address:
  • Phone: 831-260-7255
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number160886
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: