Provider Demographics
NPI:1780962597
Name:SEVCIK, ANA-MARGARITA (MFC)
Entity type:Individual
Prefix:
First Name:ANA-MARGARITA
Middle Name:
Last Name:SEVCIK
Suffix:
Gender:F
Credentials:MFC
Other - Prefix:
Other - First Name:ANA-MARGARITA
Other - Middle Name:
Other - Last Name:CASTANEDA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MFC
Mailing Address - Street 1:PO BOX 2503
Mailing Address - Street 2:
Mailing Address - City:SANTA MARIA
Mailing Address - State:CA
Mailing Address - Zip Code:93457-2503
Mailing Address - Country:US
Mailing Address - Phone:805-619-0299
Mailing Address - Fax:
Practice Address - Street 1:1414 S MILLER ST
Practice Address - Street 2:SUITE D, OFFICE #2
Practice Address - City:SANTA MARIA
Practice Address - State:CA
Practice Address - Zip Code:93454-6923
Practice Address - Country:US
Practice Address - Phone:805-619-0299
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-27
Last Update Date:2011-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 40049106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist