Borillo, Carmencita Giselle Bersamin
Borillo, Carmencita Giselle Bersamin is an sole proprietor health care provider with primary practice located at 1212 N California St , Stockton CA 95202-1552. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Borillo, Carmencita Giselle Bersamin can be contacted via phone (209) 468-8686.Contact Information
Primary practice address
1212 N California St
Stockton CA 95202-1552
Phone: (209) 468-8686
Fax: (209) 468-2380
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 51469 | California |
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | ||
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 51469 | California |
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | LMFT53691 | California |
Profile Details
| NPI number | 1821298753 |
|---|---|
| LBN Legal business name | Borillo, Carmencita Giselle Bersamin |
| Credentials | LMFT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 19th, 2007 |
| Last updated | Apr 30th, 2019 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821298753 | NPPES |
| California | Other | 53691 | BOARD OF BEHAVIORAL SCIENCES |
| California | Other | 51469 | BOARD OF BEHAVIORAL SCIENCES |
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