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NPI Code Detail

MEDICARE: MISS ANNABEL A MOJICA LMFT

MEDICARE: MISS ANNABEL A MOJICA LMFT
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
1106H00000XMarriage & Family TherapistIMF 53529CA
2106H00000XMarriage & Family TherapistMFC 48631CA

General Provider Information

NPI Number : 1144477506
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS ANNABEL A MOJICA LMFT
Provider Business Mailing Address
First Line : 1029 N BROADWAY
Second Line :
City : ESCONDIDO
State : CA
Zip : 92026-3043
Country : US
Telephone Number : 760-489-4126
Fax Number : 760-489-4129
Provider Business Practice Location Address
First Line : 1029 N BROADWAY
Second Line :
City : ESCONDIDO
State : CA
Zip : 92026-3043
Country : US
Telephone Number : 760-489-4126
Fax Number : 760-489-4129
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/27/2008
Last Update Date : 03/14/2011

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Directions to “ MISS ANNABEL A MOJICA LMFT” Practice Location

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