Paracuellos, Fabrice
Paracuellos, Fabrice is an sole proprietor health care provider with primary practice located at 303 Broadway St Ste 104.71 , Laguna Beach CA 92651-1816. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Paracuellos, Fabrice can be contacted via phone (949) 682-9305.Contact Information
Primary practice address
303 Broadway St Ste 104.71
Laguna Beach CA 92651-1816
Phone: (949) 682-9305
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | LMFT114054 | California |
Profile Details
| NPI number | 1073056362 |
|---|---|
| LBN Legal business name | Paracuellos, Fabrice |
| Credentials | Marriage and Family Therapist (MFT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 18th, 2016 |
| Last updated | Sep 21st, 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 | 1073056362 | NPPES |
| California | Other | LMFT114054 | LICENSED MARRIAGE AND FAMILY THERAPIST |
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