Provider Demographics
NPI:1386452167
Name:MUJICA-STEINER, MICHAELA (AMFT)
Entity type:Individual
Prefix:
First Name:MICHAELA
Middle Name:
Last Name:MUJICA-STEINER
Suffix:
Gender:F
Credentials:AMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:799 H ST # 1092
Mailing Address - Street 2:
Mailing Address - City:ARCATA
Mailing Address - State:CA
Mailing Address - Zip Code:95521-6240
Mailing Address - Country:US
Mailing Address - Phone:805-669-8970
Mailing Address - Fax:
Practice Address - Street 1:1391 G ST
Practice Address - Street 2:
Practice Address - City:ARCATA
Practice Address - State:CA
Practice Address - Zip Code:95521-5820
Practice Address - Country:US
Practice Address - Phone:720-365-4860
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-24
Last Update Date:2024-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA140300106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist