| NPI | 1265694954 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL WAYNE PROTHERO Owner 530-755-0735 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC36329) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA LPCC808) |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2024-08-08 |