Manivanh, Theb
Manivanh, Theb is an sole proprietor health care provider with primary practice located at 505 N Court St , Visalia CA 93291-4912. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Manivanh, Theb can be contacted via phone (559) 730-7566.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 28251 | California |
Profile Details
| NPI number | 1649459835 |
|---|---|
| LBN Legal business name | Manivanh, Theb |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 24th, 2007 |
| Last updated | Jul 6th, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649459835 | NPPES |
| California | Other | 28251 | LCSW |
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