Provider Demographics
NPI:1972782464
Name:LOCARIA, RITA MARIE (MA)
Entity type:Individual
Prefix:MS
First Name:RITA
Middle Name:MARIE
Last Name:LOCARIA
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:4510 PERALTA BLVD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94536-5755
Mailing Address - Country:US
Mailing Address - Phone:510-713-3213
Mailing Address - Fax:510-791-1230
Practice Address - Street 1:4510 PERALTA BLVD
Practice Address - Street 2:SUITE 1
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94536-5755
Practice Address - Country:US
Practice Address - Phone:510-713-3213
Practice Address - Fax:510-791-1230
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-31
Last Update Date:2007-10-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAL0412282009101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAL0412282009OtherBREINING INSTITUTE