Acosta, Selene
Acosta, Selene is an sole proprietor health care provider with primary practice located at 81557 Dr Carreon Blvd , Indio CA 92201-5517. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Acosta, Selene can be contacted via phone (760) 391-6999.Contact Information
Primary practice address
81557 Dr Carreon Blvd
Indio CA 92201-5517
Phone: (760) 391-6999
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 8187 | California |
Profile Details
| NPI number | 1568236792 |
|---|---|
| LBN Legal business name | Acosta, Selene |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 8th, 2023 |
| Last updated | Nov 8th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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