| NPI | 1417272501 |
|---|---|
| Doing Business As | CLEAR LAKE COUNSELING CENTER |
| Entity Type | Organization |
| Authorized Contact | TAIRA ST. JOHN Clinical Director 707-262-0400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2010-03-31 |
| Last Update Date | 2010-03-31 |