Individual provider · NPI-1

Mikaela Celli

Social Worker, Clinical · San Carlos, CA

NPI number1235508052
StatusActive
Last updated in NPPESJan 27, 2022

Details

NPI
1235508052
Entity type
Individual (NPI-1)
Name
Mikaela Celli
Sex
Female
Sole proprietor
No
Enumeration date
Sep 22, 2015
Certification date
Jan 27, 2022
Last updated
Jan 27, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical92894CAYes
101YM0800X Counselor, Mental HealthASW67072CA

Practice location

610 Elm St Ste 212
San Carlos, CA 94070-3070

Phone 650-350-2570 · Fax 650-571-9750

Mailing address

610 Elm St Ste 212
San Carlos, CA 94070-3070

Phone 650-350-2570 · Fax 408-259-2273

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