MARY CARMEN TERRAZAS - NPI 1144727876 - Counselor in Irwindale, CA

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

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About Mary Carmen Terrazas NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY CARMEN TERRAZAS (NPI 1144727876) is an individual mental health provider in Irwindale, California and active in the NPI registry since April 2018. She maintains a secondary practice location in Baldwin Park.

NPPES Registry Identity

NPI1144727876

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameMARY CARMEN TERRAZAS

Location Address13001 RAMONA BLVD STE IIrwindale, CA 91706

Mailing Address13001 Ramona Blvd Ste IIrwindale, CA 91706-3752 · (626) 337-3828

Phone(626) 337-3828

Sole ProprietorYes

Enumeration DateApril 9, 2018

Last NPPES UpdateSeptember 1, 20203 updates tracked since enumeration

NPPES CertifiedSeptember 1, 2020

✔ NPI 1144727876 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

13001 RAMONA BLVD STE I, Irwindale, CA 91706

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Secondary Practice Location 1

Location 113177 Ramona BlvdBaldwin Park, CA 91706-3855 · Phone (626) 962-6168

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOHN SEBASTIAN LOPEZ

Case Manager/Care Coordinator

13001 RAMONA BLVD STE I
BALDWIN PARK, CA 91706

Los Angeles County (626) 337-3828

MYEISHA JACKSON

Case Manager/Care Coordinator