# MARIA VARGAS LICENSED CLINICAL SOCIAL WORKER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MV THERAPY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316622038
- **Authorized official:** MARIA LUISA VARGAS LCSW (PROVIDER, OWNER)
- **Authorized official phone:** (951) 542-1969

## Contact information

- **Practice address:** 3200 E GUASTI RD, ONTARIO, CA 91761-8660
- **Practice address phone:** (909) 963-6730
- **Mailing address:** PO BOX 341, RANCHO CUCAMONGA, CA 91729-0341
- **Mailing address phone:** (951) 542-1969

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 06/20/2023
- **Last updated:** 06/20/2023