| NPI | 1912597485 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALIE RAE RUSH COONEY Licensed Psychotherapist 209-679-6219 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2021-01-19 |
| Last Update Date | 2021-01-19 |