Provider Demographics
NPI:1518108083
Name:NOORALI, SALEEM (LCSW)
Entity Type:Individual
Prefix:
First Name:SALEEM
Middle Name:
Last Name:NOORALI
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43100 PALM ROYALE DR.
Mailing Address - Street 2:APT # 225
Mailing Address - City:LAQUINTA
Mailing Address - State:CA
Mailing Address - Zip Code:92253-7993
Mailing Address - Country:US
Mailing Address - Phone:832-788-9582
Mailing Address - Fax:
Practice Address - Street 1:43100 PALM ROYALE DR APT 225
Practice Address - Street 2:
Practice Address - City:LA QUINTA
Practice Address - State:CA
Practice Address - Zip Code:92253-7993
Practice Address - Country:US
Practice Address - Phone:832-788-9582
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-13
Last Update Date:2009-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS140601041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical