Laura Ann Lien Mitobe, MA
Individual provider Active NPI Mental Health Counselor · Littlerock, CA
NPI 1669087573 · NPPES record last updated Sep 9, 2020
Key facts
- NPI
- 1669087573
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 17434 (CA)
- Practice address
- 11108 East Ave. V 8
Littlerock, CA 93543 - Phone
- (661) 433-4385
- NPI assigned
- Sep 9, 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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17434 | CA | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 17434 | CA | Yes |
Addresses
Primary practice location
11108 East Ave. V 8
Littlerock, CA 93543
Mailing address
PO Box 1365
Littlerock, CA 93543-5365
Phone (661) 433-4385
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- Kurt Anthony Muniz II
- Griselda Navarro-Castillo
All providers in Littlerock, 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 Sep 9, 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.