Manivanh, Theb

Manivanh, Theb is an sole proprietor health care provider with primary practice located at 505 N Court St , Visalia CA 93291-4912. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Manivanh, Theb can be contacted via phone (559) 730-7566.

Contact Information

Primary practice address
505 N Court St Visalia CA 93291-4912
Phone: (559) 730-7566
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 28251 California

Profile Details

NPI number 1649459835
LBN Legal business name Manivanh, Theb
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 24th, 2007
Last updated Jul 6th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1649459835 NPPES
California Other 28251 LCSW

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