Provider Demographics
NPI:1972715993
Name:SOLER, MARINA P (RAS, BA)
Entity Type:Individual
Prefix:MS
First Name:MARINA
Middle Name:P
Last Name:SOLER
Suffix:
Gender:F
Credentials:RAS, BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:425 C ST
Mailing Address - Street 2:
Mailing Address - City:MARTINEZ
Mailing Address - State:CA
Mailing Address - Zip Code:94553-3103
Mailing Address - Country:US
Mailing Address - Phone:925-646-1516
Mailing Address - Fax:925-646-1374
Practice Address - Street 1:425 C ST
Practice Address - Street 2:
Practice Address - City:MARTINEZ
Practice Address - State:CA
Practice Address - Zip Code:94553-3103
Practice Address - Country:US
Practice Address - Phone:925-646-1516
Practice Address - Fax:925-646-1374
Is Sole Proprietor?:No
Enumeration Date:2007-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)