Individual
FAANUU SEUMANUTUSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
275 BECK AVE, FAIRFIELD, CA 94533-6804
(707) 784-8017
Mailing address
PO BOX 5621, VALLEJO, CA 94591-0621
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
Primary
127639
CA
1041C0700X
Clinical Social Worker
TEST
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1982075537
—
CA
Enumeration date
10/08/2015
Last updated
03/04/2025
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