| NPI | 1275833758 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW MENDONSA Managing Partner / Psychologist 916-224-0212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA PSY23208) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CA H0501251418) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CA 502041328) | |
| 103T00000X Psychologist (Licence: CA PSB35143) | |
| 103T00000X Psychologist (Licence: CA PSB35429) | |
| 1041C0700X Social Worker Clinical (Licence: CA LCS17934) | |
| 1041C0700X Social Worker Clinical (Licence: CA LCS14541) | |
| 106H00000X Marriage & Family Therapist (Licence: CA MFC44328) | |
| Enumeration Date | 2010-10-29 |
| Last Update Date | 2010-10-29 |