Le Blanc, Selena Margarita

Le Blanc, Selena Margarita is an individual health care provider with primary practice located at 1745 Enterprise Dr Bldg 2 Suite I-64, Fairfield CA 94533-5801. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Le Blanc, Selena Margarita can be contacted via phone (707) 427-6640.

Contact Information

Primary practice address
1745 Enterprise Dr Bldg 2 Suite I-64 Fairfield CA 94533-5801
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1508920968
LBN Legal business name Le Blanc, Selena Margarita
Credentials MFTT
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2006
Last updated Jun 18th, 2009 - about 15 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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