Provider Demographics
NPI:1740764307
Name:SELI, MARIANNE GARCIA
Entity type:Individual
Prefix:
First Name:MARIANNE
Middle Name:GARCIA
Last Name:SELI
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:617 COBBLESTONE DR
Mailing Address - Street 2:
Mailing Address - City:SAN RAMON
Mailing Address - State:CA
Mailing Address - Zip Code:94583-5339
Mailing Address - Country:US
Mailing Address - Phone:925-577-6318
Mailing Address - Fax:
Practice Address - Street 1:9291 OLD REDWOOD HWY BLDG 500
Practice Address - Street 2:
Practice Address - City:WINDSOR
Practice Address - State:CA
Practice Address - Zip Code:95492-8089
Practice Address - Country:US
Practice Address - Phone:707-837-7701
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-19
Last Update Date:2025-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool