Organization
MANDA SELVA, LICENSED CLINICAL SOCIAL WORKER, INC
Active
Other names
mandala counseling
Organization subpart
No
Provider details
NPI number
Authorized official
MADHULLA SELVA (PRESIDENT)
(510) 230-9565
Entity
Organization
Contact information
Practice address
631 LA PALOMA RD, EL SOBRANTE, CA 94803-1735
(510) 230-9565
Mailing address
2646 APPIAN WAY, PINOLE, CA 94564-2242
(510) 230-9565
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/15/2023
Last updated
05/28/2024
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