| NPI | 1831254341 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN ACKER Office Manager 530-891-5571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: CA MFC4394) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA LCS18165) |
| 101YM0800X Counselor Mental Health (Licence: CA MFC 22115) | |
| 101YM0800X Counselor Mental Health (Licence: CA MFC 25412) | |
| 101YM0800X Counselor Mental Health (Licence: CA MFC 24270) | |
| 101YM0800X Counselor Mental Health (Licence: CA LCS 20723) | |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2007-07-17 |