Individual provider · Type 1 NPI

Selena Margarita Le Blanc, MFTT

Mental Health Counselor · Fairfield, CA

NPI number 1508920968 Active

Practice location

1745 Enterprise Dr Bldg 2, Suite I-64
Fairfield, CA 94533-5801

Call (707) 427-6640 Map

Mailing address

2999 North Texas, #21
Fairfield,, CA 94533

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1508920968

Selena Margarita Le Blanc, MFTT's National Provider Identifier is 1508920968, issued on Dec 20, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fairfield, CA. The record was last updated on Jun 18, 2009.