| Mariposa Healing Place Corp | |
|
310 Alta Street Gonzales CA 93926 | |
| (831) 296-0117 | |
| Not Available |
| Full Name | Mariposa Healing Place Corp |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 310 Alta Street, Gonzales, California |
| Authorized Official Name and Position | Cristina Magana De Sotelo (OWNER) |
| Authorized Official Contact | 8315123548 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mariposa Healing Place Corp Po Box 1641 Greenfield CA 93927-1641 Ph: (831) 296-0117 | Mariposa Healing Place Corp 310 Alta Street Gonzales CA 93926 Ph: (831) 296-0117 |
| NPI Number | 1669329108 |
|---|---|
| Provider Enumeration Date | 03/13/2026 |
| Last Update Date | 03/13/2026 |
| Certification Date | 03/09/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669329108 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Mariposa Healing Place, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 310 Alta St, Gonzales, CA 93926 Phone: 831-296-0117 |