Klebanov, Marianna
Klebanov, Marianna is an sole proprietor health care provider with primary practice located at 1303 San Carlos Ave , San Carlos CA 94070-2317. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Mental Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center). Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Klebanov, Marianna can be contacted via phone (650) 425-3644.Contact Information
Primary practice address
1303 San Carlos Ave
San Carlos CA 94070-2317
Phone: (650) 425-3644
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | ||
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X | ||
Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 138005 | California |
Profile Details
NPI number | 1942973805 |
---|---|
LBN Legal business name | Klebanov, Marianna |
Credentials | MFT AND LPCC |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 27th, 2021 |
Last updated | Jan 31st, 2024 - about 11 months 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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