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MARIELA ACEVEDO MFTI

Mental Health >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1356869093

Individual Registrant:
 MARIELA  ACEVEDO MFTI
Gender: F
Not Sole Proprietor

Location and contact information for practice:
1400 EMELINE AVE  SANTA CRUZ, CA 95060-1976 US
Tel: (83-1) -454-4900  Fax: 831-454-4663

Contact information for business:
1400 EMELINE AVE  SANTA CRUZ, CA 95060-1976 US
Tel: 831-454-4900  Fax: 831-454-4663

Registration Information:
NPI: 1356869093
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YM0800XBehavioral Health & Social Service Providers
Counselor
Mental Health
CAIMF100669

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
SANTA CRUZ COUNTY GROUP MEDICAL NUMBERFHC70042FCA01
SANTA CRUZ COUNTY GROUP MEDICAL NUMBERFHC70044FCA01




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