Provider Demographics
NPI:1528788114
Name:JAUREGUI, MIREYA (MA PPS)
Entity type:Individual
Prefix:
First Name:MIREYA
Middle Name:
Last Name:JAUREGUI
Suffix:
Gender:F
Credentials:MA PPS
Other - Prefix:
Other - First Name:MIREYA
Other - Middle Name:
Other - Last Name:JAUREGUI-LOPEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1859 BIRD ST # CA
Mailing Address - Street 2:
Mailing Address - City:OROVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95965-4854
Mailing Address - Country:US
Mailing Address - Phone:530-532-5650
Mailing Address - Fax:
Practice Address - Street 1:1535 BRIDGE ST
Practice Address - Street 2:
Practice Address - City:OROVILLE
Practice Address - State:CA
Practice Address - Zip Code:95966-5060
Practice Address - Country:US
Practice Address - Phone:530-532-2320
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-01
Last Update Date:2022-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool