Waddell, Selene Sophia

Waddell, Selene Sophia is an sole proprietor health care provider with primary practice located at 990 Villa St , Mountain View CA 94041-1236. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Waddell, Selene Sophia can be contacted via phone (888) 688-9296.

Contact Information

Primary practice address
990 Villa St Mountain View CA 94041-1236
Phone: (888) 688-9296
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC-2137 Arizona

Profile Details

NPI number 1386233534
LBN Legal business name Waddell, Selene Sophia
Credentials MC,LPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 12th, 2021
Last updated Jan 25th, 2021 - about 3 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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