Reeya Maldonado
Social Worker, Clinical in San Diego, CA. Individual provider (NPI-1).
NPI number1366166340
StatusActive
Last updated in NPPESOct 11, 2023
Details
- NPI
- 1366166340
- Entity type
- Individual (NPI-1)
- Name
- Reeya Maldonado
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 3, 2022
- Certification date
- Oct 11, 2023
- Last updated
- Oct 11, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 118455 | CA | Yes |
| 101YM0800X | Counselor, Mental Health | – | – | |
| 171M00000X | Case Manager/Care Coordinator | – | – |
Practice location
5400 Kearny Mesa RdSan Diego, CA 92111-1303
Phone 619-717-2363
Mailing address
5400 Kearny Mesa RdSan Diego, CA 92111-1303
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