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Mary Marie Mcrae
Student in an Organized Health Care Education/Training Program in Riverside, California
NPI 1538868377

Mary Marie Mcrae is a Student in an Organized Health Care Education/Training Program based in Escondido, CA. Mary Marie Mcrae practices in Riverside, CA. The NPI Number for Mary Marie Mcrae is 1538868377 and holds a License No. (California).

The current practice location address for Mary Marie Mcrae is 5005 Canyon Crest Dr, Riverside, CA and can be reached out via phone at 323-825-9182.

Location: 5005 Canyon Crest Dr, Riverside, CA, 92029-5303
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1538868377
Provider Name
Mary Marie Mcrae
Credential
Provider Entity Type
Individual
Gender
Female
Address
5005 Canyon Crest Dr, Riverside, CA, 92029-5303
Phone Number
323-825-9182
Fax Number
Provider Enumeration Date
03/01/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5005 Canyon Crest Dr
City
Riverside
State
California
Zip
92507-7721
Phone Number
323-825-9182
Fax Number
person
Provider Business Mailing Address Details
Address
5005 Canyon Crest Dr
City
Riverside
State
California
Zip
92507-7721
Phone Number
323-825-9182
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
94028048 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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