Individual provider · Type 1 NPI

Macy-Alexandra Makana Mitravich

Mental Health Counselor · Escondido, CA

NPI number 1780217331 Active

Practice location

474 W Vermont Ave
Escondido, CA 92025-6584

Mailing address

1130 Sea Glass Way
Oceanside, CA 92054-4373

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XNone listed
Mental Health Counselor Primary 101YM0800XASW93920 (CA)

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About NPI 1780217331

Macy-Alexandra Makana Mitravich's National Provider Identifier is 1780217331, issued on Feb 21, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Escondido, CA. The record was last updated on Feb 28, 2020.