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NPI Code Detail

MEDICARE: MRS. MONIQUE DASHAI DEAN LCSW

MEDICARE: MRS. MONIQUE DASHAI DEAN LCSW
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
1101YM0800XMental Health Counselor83521CA
2225400000XRehabilitation Practitioner
3390200000XStudent in an Organized Health Care Education/Training Program
41041C0700XClinical Social Worker101302CA

General Provider Information

NPI Number : 1700302247
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MONIQUE DASHAI DEAN LCSW
Provider Business Mailing Address
First Line : 4193 FLAT ROCK DR STE 200
Second Line :
City : RIVERSIDE
State : CA
Zip : 92505-7113
Country : US
Telephone Number : 562-955-9630
Fax Number :
Provider Business Practice Location Address
First Line : 4193 FLAT ROCK DR STE 200
Second Line :
City : RIVERSIDE
State : CA
Zip : 92505-7113
Country : US
Telephone Number : 562-955-9630
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/16/2017
Last Update Date : 01/30/2025

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