Provider Demographics
NPI:1811724008
Name:VANSANT KLEIN, HELENE P (RN, LMFT, LPCC)
Entity type:Individual
Prefix:
First Name:HELENE
Middle Name:P
Last Name:VANSANT KLEIN
Suffix:
Gender:F
Credentials:RN, LMFT, LPCC
Other - Prefix:
Other - First Name:HELENE
Other - Middle Name:PATRICIA
Other - Last Name:VANSANT-KLEIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN, LMFT, LPCC
Mailing Address - Street 1:8129 E, CARRIAGE LN
Mailing Address - Street 2:
Mailing Address - City:FAIR OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:95628
Mailing Address - Country:US
Mailing Address - Phone:916-342-0380
Mailing Address - Fax:916-534-7094
Practice Address - Street 1:4088 BRIDGE ST #5
Practice Address - Street 2:
Practice Address - City:FAIR OAKS
Practice Address - State:CA
Practice Address - Zip Code:95628
Practice Address - Country:US
Practice Address - Phone:916-342-0380
Practice Address - Fax:916-534-7094
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-19
Last Update Date:2024-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALPCC91101YP2500X
CALMFT37131106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist