Cynthia Ascencio
Individual provider Active NPI Mental Health Counselor · Perris, CA
NPI 1013539451 · NPPES record last updated May 7, 2020
Key facts
- NPI
- 1013539451
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 106790 (CA)
- Practice address
- 2340 Firebrand Ave
Perris, CA 92571-2697 - Phone
- (951) 897-9782
- NPI assigned
- May 7, 2020
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 106790 | CA | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor |
101YM0800X | 106790 | CA | Yes |
Addresses
Primary practice location
2340 Firebrand Ave
Perris, CA 92571-2697
Mailing address
2340 Firebrand Ave
Perris, CA 92571-2697
Phone (951) 897-9782
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All providers in Perris, CA · Mental Health Counselor in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 7, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.