Provider Demographics
NPI:1548441025
Name:D'URSO MUNTANER, MARIA SOL (LICENSED MFT)
Entity type:Individual
Prefix:MISS
First Name:MARIA
Middle Name:SOL
Last Name:D'URSO MUNTANER
Suffix:
Gender:F
Credentials:LICENSED MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:3914 MURPHY CANYON RD
Mailing Address - Street 2:SUITE A237
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92123-4491
Mailing Address - Country:US
Mailing Address - Phone:619-905-6198
Mailing Address - Fax:858-450-9552
Practice Address - Street 1:3914 MURPHY CANYON RD
Practice Address - Street 2:SUITE A237
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92123-4491
Practice Address - Country:US
Practice Address - Phone:619-905-6198
Practice Address - Fax:858-450-9552
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-26
Last Update Date:2010-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA47709106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist