MARI LISER ULATE (NPI# 1255697942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255697942 |
| Entity Type | Individual |
| Full Name | MARI LISER ULATE |
| Other Name | MARI LISER MONTES |
| Credential | M.A. |
| Practice Address |
1420 S Milliken Ave Ste 508 Ontario CA 91761-2337 |
| Mailing Address |
855 N Euclid Ave Ontario CA 91762-2729 |
| Practice Telephone | 9099882418 |
| Practice Fax Number | 9099884571 |
| Mailing Telephone | (909) 983-2020 |
| Enumeration Date | 2012-04-06 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 95-1946482 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 855 N Euclid Ave, Ontario, CA 917622729 | 9099832020 |
| Street Address |
1420 S MILLIKEN AVE STE 508 |
| City | ONTARIO |
| State | CA |
| Zip Code | 91761-2337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750757530 | Sarina Crystal Chan | Marriage & Family Therapist | 1420 S Milliken Ave Ste 508, Ontario, CA 91761 | 2015-08-17 |
| 1891126264 | Erika Michelle Gayoso | Marriage & Family Therapist | 1420 S Milliken Ave Ste 508, Ontario, CA 91761-2337 | 2013-12-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902418163 | Blue Oak Counseling Services, Inc. | Counselor | 3200 Guasti Rd #100, Ontario, CA 91761 | 2020-08-19 |
| 1578115986 | Hadel Awad | Behavior Technician | 1801 South Excise Ave, 116, Ontario, CA 91761 | 2019-07-15 |
| 1265902845 | Stephanie Escalante | Behavior Technician | 1801 S. Excise Ave. #116, Ontario, CA 91761 | 2018-11-27 |
| 1801395595 | Optimum Bio Lab Inc | Clinical Medical Laboratory | 1910 S Archibald Ave #d, Ontario, CA 91761 | 2018-02-07 |
| 1871010033 | Evelyn Esther Martinez | Case Manager/Care Coordinator | 1556 S. Sultana Ave., Ontario, CA 91761 | 2017-08-28 |
| 1750812525 | Building Bridges Christian Counseling | Marriage & Family Therapist | 3200 Guasti Road, Suite 100, Ontario, CA 91761 | 2017-03-23 |
| 1659829513 | Gregory J Musselman | Physician Assistant | 3550 E Philadelphia St Ste 150, Ontario, CA 91761 | 2016-09-20 |
| 1700332327 | Ramon Cardenas | Registered Nurse | 721 E. Banyan St., Ontario, CA 91761 | 2016-09-01 |
| 1023565660 | Breanna Gonzalez | Occupational Therapist | 3449 S. Wrangler Pl., Ontario, CA 91761 | 2016-09-01 |
| 1326491507 | Sasha Khawaja | Specialist/Technologist | 1500 So. Haven Ave, Ste 190, Ontario, CA 91761 | 2016-07-22 |
| Find all providers in zip 91761 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245752351 | Ayesha Aziz | Marriage & Family Therapist | 3210 Clear Lake Rd, Ontario, CA 91761-0408 | 2017-07-10 |
| 1750812525 | Building Bridges Christian Counseling | Marriage & Family Therapist | 3200 Guasti Road, Suite 100, Ontario, CA 91761 | 2017-03-23 |
| 1801296918 | Kathane R Coleman | Marriage & Family Therapist | 1011 N Begonia Ave # 1009, Ontario, CA 91762-2104 | 2014-08-26 |
| 1487063673 | John Hynes | Marriage & Family Therapist | 125 W F St # 101, Ontario, CA 91762-3201 | 2014-08-13 |
| 1154672475 | Rosa Ray | Marriage & Family Therapist | 317 West F St, Ontario, CA 91762-3205 | 2012-09-26 |
| 1730454638 | Tina Luis-brown | Marriage & Family Therapist | 531 N Euclid Ave, Ontario, CA 91762-3221 | 2012-03-12 |
| 1245510353 | Kristofer R Anderson | Marriage & Family Therapist | 3200 E Guasti Rd, Suite 100-42, Ontario, CA 91761-8660 | 2011-08-19 |
| 1497053938 | Nicholas Quintanar | Marriage & Family Therapist | 317 W. F St., Ontario, CA 91762-3205 | 2011-03-08 |
| 1215186960 | Gladys Dorantes Corado | Marriage & Family Therapist | 814 North Euclid Avenue, Ontario, CA 91762-2729 | 2008-09-17 |
| 1538338124 | Karen Stokes | Marriage & Family Therapist | 1436 N Bonita Ct, Ontario, CA 91762-1613 | 2008-02-27 |
| Find all providers in ONTARIO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.