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Selene Smith
Student in an Organized Health Care Education/Training Program in Indio, California
NPI 1659077543

Selene Smith is a Student in an Organized Health Care Education/Training Program based in Indio, CA. Selene Smith practices in Indio, CA. The NPI Number for Selene Smith is 1659077543 and holds a License No. PRE-LICENSED (California).

The current practice location address for Selene Smith is 81557 Dr Carreon Blvd Ste C9, Indio, CA and can be reached out via phone at 760-391-6999.

Location: 81557 Dr Carreon Blvd Ste C9, Indio, CA, 92201-5562
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659077543
Provider Name
Selene Smith
Credential
Provider Entity Type
Individual
Gender
Female
Address
81557 Dr Carreon Blvd Ste C9, Indio, CA, 92201-5562
Phone Number
760-391-6999
Fax Number
Provider Enumeration Date
02/02/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
81557 Dr Carreon Blvd Ste C9
City
Indio
State
California
Zip
92201-5562
Phone Number
760-391-6999
Fax Number
person
Provider Business Mailing Address Details
Address
81557 Dr Carreon Blvd Ste C9
City
Indio
State
California
Zip
92201-5562
Phone Number
760-391-6999
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
PRE-LICENSED (California)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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