Search › California › 1041S0200X
Mayra Licano, LCSW
NPI 1760042535 · on the registry since 2019
Practice
- Address
- 4200 Ashe Rd
Bakersfield, CA 93313 - Phone
- (661) 809-0837
- Organisation at this address
- Panama-Buena Vista Union Sd
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 24
Registry record
- Primary taxonomy
- 1041S0200X
1041S0200X
- Also registered as
- 1041C0700X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-02-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California