Mica Woods

Individual provider Active NPI Marriage & Family Therapist · Hinkley, CA

NPI 1972392983 · NPPES record last updated May 5, 2025

Key facts

NPI
1972392983
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
AMFT154098 (CA)
Practice address
22392 Via Vaccaro
Hinkley, CA 92347-9674
Phone
(760) 718-8907
NPI assigned
May 5, 2025
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
APCC19084CAMDMental Health Counselor
AMFT154098CAMDMarriage & Family Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X APCC19084 CA
Marriage & Family Therapist 106H00000X AMFT154098 CA Yes

Addresses

Primary practice location

22392 Via Vaccaro
Hinkley, CA 92347-9674

Mailing address

22392 Via Vaccaro
Hinkley, CA 92347-9674
Phone (760) 718-8907

Other providers in Hinkley, CA

All providers in Hinkley, CA · Marriage & Family Therapist in California

Sources for this page

Verify at the official NPI Registry.