Favela, Jose C

Favela, Jose C is an individual health care provider with primary practice located at 891 Mountain Ranch Rd , San Andreas CA 95249-9713. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Behavioral Analyst, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is his primary health care specialty. Favela, Jose C can be contacted via phone (209) 754-6885.

Contact Information

Primary practice address
891 Mountain Ranch Rd San Andreas CA 95249-9713
Phone: (209) 754-6885
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1548384597
LBN Legal business name Favela, Jose C
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2007
Last updated Jun 3rd, 2022 - 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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