Reynoso, Carmen Vanessa

Reynoso, Carmen Vanessa is an sole proprietor health care provider with primary practice located at 40 Bennett Ave Apartment # 4, Long Beach CA 90803-2986. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Reynoso, Carmen Vanessa can be contacted via phone (562) 833-8723.

Contact Information

Primary practice address
40 Bennett Ave Apartment # 4 Long Beach CA 90803-2986
Phone: (562) 833-8723
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X IMF43481 California
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MFC46339 California

Profile Details

NPI number 1124159215
LBN Legal business name Reynoso, Carmen Vanessa
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 8th, 2007
Last updated Nov 12th, 2008 - about 16 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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