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Individual
JOANNA MANCILLA
Active
Individual
JOANNA MANCILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
ASW113512
CA
1041C0700X
Clinical Social Worker
Primary
ASW113512
CA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1954
—
CA
05
—
6758
—
CA
05
—
7068
—
CA
05
—
7420
—
CA
Enumeration date
10/24/2022
Last updated
07/05/2023
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