Provider Demographics
NPI:1912040387
Name:HELANDER, CAROL B (MFT)
Entity Type:Individual
Prefix:
First Name:CAROL
Middle Name:B
Last Name:HELANDER
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 1:965 E YOSEMITE AVE STE 12
Mailing Address - Street 2:
Mailing Address - City:MANTECA
Mailing Address - State:CA
Mailing Address - Zip Code:95336-5943
Mailing Address - Country:US
Mailing Address - Phone:209-298-2686
Mailing Address - Fax:209-824-0010
Practice Address - Street 1:965 E YOSEMITE AVE STE 12
Practice Address - Street 2:
Practice Address - City:MANTECA
Practice Address - State:CA
Practice Address - Zip Code:95336-5943
Practice Address - Country:US
Practice Address - Phone:209-298-2686
Practice Address - Fax:209-824-0010
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-15
Last Update Date:2021-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC37909101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health