Provider Demographics
NPI:1245416460
Name:MC NABB, MINERVA OCHOA (MFT)
Entity Type:Individual
Prefix:MS
First Name:MINERVA
Middle Name:OCHOA
Last Name:MC NABB
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 S MAIN ST STE 210B
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93901-2354
Mailing Address - Country:US
Mailing Address - Phone:831-796-1500
Mailing Address - Fax:
Practice Address - Street 1:1000 S MAIN ST STE 210B
Practice Address - Street 2:
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93901-2354
Practice Address - Country:US
Practice Address - Phone:831-796-1500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-17
Last Update Date:2021-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA42623106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist