Provider Demographics
NPI:1679381263
Name:NAVA, MARIO DANIEL (LMFT, CST)
Entity type:Individual
Prefix:
First Name:MARIO
Middle Name:DANIEL
Last Name:NAVA
Suffix:
Gender:M
Credentials:LMFT, CST
Other - Prefix:
Other - First Name:DANNY
Other - Middle Name:
Other - Last Name:NAVA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:5322 PIONEER BLVD
Mailing Address - Street 2:
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90601-2024
Mailing Address - Country:US
Mailing Address - Phone:562-382-4758
Mailing Address - Fax:
Practice Address - Street 1:377 E CHAPMAN AVE STE 105
Practice Address - Street 2:
Practice Address - City:PLACENTIA
Practice Address - State:CA
Practice Address - Zip Code:92870-5085
Practice Address - Country:US
Practice Address - Phone:562-382-4758
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-27
Last Update Date:2024-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA135707106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist