Healthcare Provider Details

I. General information

NPI: 1700225943
Provider Name (Legal Business Name): COUNTY OF MONTEREY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/20/2013
Last Update Date: 06/20/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1441 CONSTITUTION BLVD STE 202
SALINAS CA
93906-3127
US

IV. Provider business mailing address

1441 CONSTITUTION BLVD STE 202
SALINAS CA
93906-3127
US

V. Phone/Fax

Practice location:
  • Phone: 831-796-1700
  • Fax: 831-769-0552
Mailing address:
  • Phone: 831-796-1700
  • Fax: 831-769-0552

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License NumberVN261782
License Number StateCA

VIII. Authorized Official

Name: MRS. JAQUELINE MOHLER
Title or Position: PUBLIC HEALTH LVN
Credential: LVN
Phone: 831-905-2027