Provider Demographics
NPI:1336259605
Name:MURICA, ANA CAROLINA (MA, LMFT)
Entity Type:Individual
Prefix:MS
First Name:ANA
Middle Name:CAROLINA
Last Name:MURICA
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23119 COTTONWOOD AVE BLDG A
Mailing Address - Street 2:SUITE 110
Mailing Address - City:MORENO VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92553-9662
Mailing Address - Country:US
Mailing Address - Phone:951-413-5678
Mailing Address - Fax:951-413-5660
Practice Address - Street 1:23119 COTTONWOOD AVE BLDG A
Practice Address - Street 2:SUITE 110
Practice Address - City:MORENO VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92553-9662
Practice Address - Country:US
Practice Address - Phone:951-413-5678
Practice Address - Fax:951-413-5660
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 40305106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist