| Mariposa Healing Place, Llc | |
|
310 Alta St Gonzales CA 93926 | |
| (831) 296-0117 | |
| Not Available |
| Full Name | Mariposa Healing Place, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 310 Alta St, Gonzales, California |
| Authorized Official Name and Position | Cristina Sotelo (OWNER/LICENSED CLINICAL SOCIAL WOR) |
| Authorized Official Contact | 8315123548 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mariposa Healing Place, Llc Po Box 1641 Greenfield CA 93927-1641 Ph: (831) 296-0117 | Mariposa Healing Place, Llc 310 Alta St Gonzales CA 93926 Ph: (831) 296-0117 |
| NPI Number | 1932931466 |
|---|---|
| Provider Enumeration Date | 08/14/2024 |
| Last Update Date | 08/14/2024 |
| Certification Date | 08/13/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932931466 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
Mariposa Healing Place Corp Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 310 Alta Street, Gonzales, CA 93926 Phone: 831-296-0117 |