Radellant, Charmaine
Radellant, Charmaine is an sole proprietor health care provider with primary practice located at 4025 N Fresno St Ste 102 , Fresno CA 93726-4027. She recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Adult Development & Aging, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Forensic, Behavioral Health & Social Service Providers / Group Psychotherapy, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Radellant, Charmaine can be contacted via phone (559) 307-9505.Contact Information
Primary practice address
4025 N Fresno St Ste 102
Fresno CA 93726-4027
Phone: (559) 307-9505
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Adult Development & Aging | 103TA0700X | PSY22964 | California |
Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | PSY22964 | California |
Behavioral Health & Social Service Providers / Forensic | 103TF0200X | PSY22964 | California |
Behavioral Health & Social Service Providers / Group Psychotherapy | 103TP2701X | PSY22964 | California |
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY22964 | California |
Profile Details
NPI number | 1619194347 |
---|---|
LBN Legal business name | Radellant, Charmaine |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 20th, 2007 |
Last updated | Nov 10th, 2011 - about 13 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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