Ballesteros, Raisa

Ballesteros, Raisa is an individual health care provider with primary practice located at 2195 Union Ave , Fairfield CA 94533-3240. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Ballesteros, Raisa can be contacted via phone (707) 422-0464.

Contact Information

Primary practice address
2195 Union Ave Fairfield CA 94533-3240
Phone: (707) 422-0464
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X ASW 72375 California

Profile Details

NPI number 1033528179
LBN Legal business name Ballesteros, Raisa
Credentials ASW
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2014
Last updated Aug 3rd, 2016 - about 10 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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