| NPI | 1972969715 |
|---|---|
| Doing Business As | THERESA L CICCHETTO |
| Entity Type | Organization |
| Authorized Contact | THERESA LOUISE CICCHETTO Owner 707-514-5812 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC 43693) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA LPCC 1490) |
| Enumeration Date | 2016-01-09 |
| Last Update Date | 2016-12-13 |