| Manda Selva, Licensed Clinical Social Worker, Inc | |
|
631 La Paloma Rd El Sobrante CA 94803-1735 | |
| (510) 230-9565 | |
| Not Available |
| Full Name | Manda Selva, Licensed Clinical Social Worker, Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 631 La Paloma Rd, El Sobrante, California |
| Authorized Official Name and Position | Madhulla Selva (PRESIDENT) |
| Authorized Official Contact | 5102309565 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Manda Selva, Licensed Clinical Social Worker, Inc 2646 Appian Way Pinole CA 94564-2242 Ph: (510) 230-9565 | Manda Selva, Licensed Clinical Social Worker, Inc 631 La Paloma Rd El Sobrante CA 94803-1735 Ph: (510) 230-9565 |
| NPI Number | 1356124234 |
|---|---|
| Provider Enumeration Date | 08/15/2023 |
| Last Update Date | 05/28/2024 |
| Certification Date | 09/01/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356124234 | NPI | - | NPPES |
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