Provider Demographics
NPI:1114423977
Name:NAJOR, MIA (LMFT)
Entity Type:Individual
Prefix:
First Name:MIA
Middle Name:
Last Name:NAJOR
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8337 MOUNT VERNON ST
Mailing Address - Street 2:
Mailing Address - City:LEMON GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:91945-3324
Mailing Address - Country:US
Mailing Address - Phone:619-261-8531
Mailing Address - Fax:
Practice Address - Street 1:8337 MOUNT VERNON ST
Practice Address - Street 2:
Practice Address - City:LEMON GROVE
Practice Address - State:CA
Practice Address - Zip Code:91945-3324
Practice Address - Country:US
Practice Address - Phone:619-261-8531
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-02
Last Update Date:2018-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA105517106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist