Provider Demographics
NPI:1487417077
Name:ALEJO MARCET, MIREYA
Entity type:Individual
Prefix:MS
First Name:MIREYA
Middle Name:
Last Name:ALEJO MARCET
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18550 BEAR MEADOW RD
Mailing Address - Street 2:
Mailing Address - City:GRASS VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:95945-8625
Mailing Address - Country:US
Mailing Address - Phone:415-336-1350
Mailing Address - Fax:
Practice Address - Street 1:18550 BEAR MEADOW RD
Practice Address - Street 2:
Practice Address - City:GRASS VALLEY
Practice Address - State:CA
Practice Address - Zip Code:95945-8625
Practice Address - Country:US
Practice Address - Phone:415-336-1350
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-05
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist