Blanco, Wanda Siena

Blanco, Wanda Siena is an sole proprietor health care provider with primary practice located at 651 N Broad St Ste 205 #4462 , Middletown DE 19709-6402. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Blanco, Wanda Siena can be contacted via phone (302) 985-9831.

Contact Information

Primary practice address
651 N Broad St Ste 205 #4462 Middletown DE 19709-6402
Phone: (302) 985-9831
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LC8003 Maryland
Behavioral Health & Social Service Providers / Mental Health 101YM0800X PC0000797 Delaware

Profile Details

NPI number 1245471952
LBN Legal business name Blanco, Wanda Siena
Credentials LPCMH
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 11th, 2009
Last updated Feb 9th, 2021 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1245471952 NPPES
Other 13591550 CAQH ID

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