Provider Demographics
NPI:1043413826
Name:FERRANTO, MONIQUE (BA)
Entity Type:Individual
Prefix:MS
First Name:MONIQUE
Middle Name:
Last Name:FERRANTO
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:126 SOUTH H STREET
Mailing Address - Street 2:
Mailing Address - City:LOMPOC
Mailing Address - State:CA
Mailing Address - Zip Code:93426-6821
Mailing Address - Country:US
Mailing Address - Phone:805-735-5550
Mailing Address - Fax:805-735-5616
Practice Address - Street 1:126 SOUTH H STREET
Practice Address - Street 2:
Practice Address - City:LOMPOC
Practice Address - State:CA
Practice Address - Zip Code:93426-6821
Practice Address - Country:US
Practice Address - Phone:805-735-5550
Practice Address - Fax:805-735-5616
Is Sole Proprietor?:No
Enumeration Date:2007-06-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor