Provider Demographics
NPI:1417139296
Name:CASHIOTTA-MUNN, MONICA GRACE (RN, MFT)
Entity Type:Individual
Prefix:MRS
First Name:MONICA
Middle Name:GRACE
Last Name:CASHIOTTA-MUNN
Suffix:
Gender:F
Credentials:RN, MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4509 BAMBURGH PL
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92117-4220
Mailing Address - Country:US
Mailing Address - Phone:858-576-7034
Mailing Address - Fax:858-576-7034
Practice Address - Street 1:5858 MOUNT ALIFAN DR STE 104
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92111-2730
Practice Address - Country:US
Practice Address - Phone:619-851-8080
Practice Address - Fax:858-384-6042
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-03
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT27730106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist