Ms Malia L Fontecchio, MSW, ACSW is a
Counselor - Mental Health based in Big Bear, California. Ms Malia L Fontecchio is licensed to practice in * (Not Available) (license number ) and her current practice location is
41945 Big Bear Blvd., Suite 222, Big Bear, California. She can be reached at her office (for appointments etc.) via phone at
(909) 866-5070.
NPI number for Ms Malia L Fontecchio is 1750662573 and her current mailing address is 340 Highway 138, Crestline, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1750662573.
Healthcare Provider's Profile
| Full Name | Ms Malia L Fontecchio |
|---|
| Gender | Female |
|---|
| Speciality | Counselor - Mental Health |
|---|
| Location | 41945 Big Bear Blvd., Big Bear, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1750662573
- Provider Enumeration Date: 09/07/2011
- Last Update Date: 08/16/2018
Medical Identifiers
Medical identifiers for Ms Malia L Fontecchio such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1750662573 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 104100000X | Social Worker | 36499 (California) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Malia L Fontecchio is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Malia L Fontecchio, MSW, ACSW
340 Highway 138,
Crestline, CA 92325-2449
Ph: (909) 336-3330 | Ms Malia L Fontecchio, MSW, ACSW
41945 Big Bear Blvd., Suite 222,
Big Bear, CA 92315
Ph: (909) 866-5070 |
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