Provider Demographics
NPI:1285850263
Name:SELENATI, HELEN ANTOINETTE (MFT)
Entity Type:Individual
Prefix:MS
First Name:HELEN
Middle Name:ANTOINETTE
Last Name:SELENATI
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 MENDOCINO WAY
Mailing Address - Street 2:
Mailing Address - City:REDWOOD CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94065-1789
Mailing Address - Country:US
Mailing Address - Phone:650-596-0807
Mailing Address - Fax:
Practice Address - Street 1:611 VETERANS BLVD STE 109
Practice Address - Street 2:
Practice Address - City:REDWOOD CITY
Practice Address - State:CA
Practice Address - Zip Code:94063-1462
Practice Address - Country:US
Practice Address - Phone:650-596-0807
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC41355106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist