Provider Demographics
NPI:1053444760
Name:ATWAL, MONICA (PPS)
Entity Type:Individual
Prefix:MRS
First Name:MONICA
Middle Name:
Last Name:ATWAL
Suffix:
Gender:F
Credentials:PPS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:750 N PALORA AVE
Mailing Address - Street 2:
Mailing Address - City:YUBA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:95991-3627
Mailing Address - Country:US
Mailing Address - Phone:530-822-5215
Mailing Address - Fax:
Practice Address - Street 1:750 N PALORA AVE
Practice Address - Street 2:
Practice Address - City:YUBA CITY
Practice Address - State:CA
Practice Address - Zip Code:95991-3627
Practice Address - Country:US
Practice Address - Phone:530-822-5215
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool