NPI | 1659880946 |
---|---|
Entity Type | Organization |
Authorized Contact | DEBORAH DUELL-STEPHENS Clinical Director 916-408-6618 |
Organization Subpart ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT97103) |
Additional Taxonomies | 104100000X Social Worker |
251S00000X | |
Enumeration Date | 2017-09-29 |
Last Update Date | 2022-07-21 |