Provider Demographics
NPI:1275211120
Name:MUNGUIA, RHIANNA (LCSW)
Entity Type:Individual
Prefix:
First Name:RHIANNA
Middle Name:
Last Name:MUNGUIA
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8046 PARK LAWN CT
Mailing Address - Street 2:
Mailing Address - City:FONTANA
Mailing Address - State:CA
Mailing Address - Zip Code:92336-3831
Mailing Address - Country:US
Mailing Address - Phone:951-897-3507
Mailing Address - Fax:
Practice Address - Street 1:8046 PARK LAWN CT
Practice Address - Street 2:
Practice Address - City:FONTANA
Practice Address - State:CA
Practice Address - Zip Code:92336-3831
Practice Address - Country:US
Practice Address - Phone:951-897-3507
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-10
Last Update Date:2023-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA941141041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty