| NPI | 1770753055 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY JEAN ELLIS Clinical Director 530-477-7016 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC 22869) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC 41740) |
| 106H00000X Marriage & Family Therapist (Licence: CA MFC 42832) | |
| 106H00000X Marriage & Family Therapist (Licence: CA IMF 49385) | |
| Enumeration Date | 2008-03-03 |
| Last Update Date | 2008-03-03 |