| Agate Moon Ecotherapy Collective, Licensed Clinical Social Worker, Inc | |
|
1776 Market Ave Mckinleyville CA 95519-4209 | |
| (503) 440-5924 | |
| Not Available |
| Full Name | Agate Moon Ecotherapy Collective, Licensed Clinical Social Worker, Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1776 Market Ave, Mckinleyville, California |
| Authorized Official Name and Position | Bo Jason Hamer (CEO - CLINICAL DIRECTOR) |
| Authorized Official Contact | 5034405924 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Agate Moon Ecotherapy Collective, Licensed Clinical Social Worker, Inc 1776 Market Ave Mckinleyville CA 95519-4209 Ph: () - | Agate Moon Ecotherapy Collective, Licensed Clinical Social Worker, Inc 1776 Market Ave Mckinleyville CA 95519-4209 Ph: (503) 440-5924 |
| NPI Number | 1407546989 |
|---|---|
| Provider Enumeration Date | 05/09/2023 |
| Last Update Date | 05/10/2023 |
| Certification Date | 05/10/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407546989 | NPI | - | NPPES |
Aba Humboldt Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1622 Bartow Rd, Mckinleyville, CA 95519 Phone: 707-672-5527 Fax: 707-633-1755 | |
Humboldt County Behavioral Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1615 Heartwood Drive, Mckinleyville, CA 95519 Phone: 707-268-2990 | |
Two Feathers Native American Family Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1560 Betty Ct Unit A, Mckinleyville, CA 95519 Phone: 707-839-1933 | |
North Coast Nurture Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1225 Central Ave Ste 2, Mckinleyville, CA 95519 Phone: 707-601-5622 Fax: 707-840-6036 | |
North Coast Psychotherapy Center For Anxiety And Ocd, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1660 Central Ave Ste F, Mckinleyville, CA 95519 Phone: 949-400-5069 | |
Two Feathers Native American Family Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1560 Betty Ct Ste A, Mckinleyville, CA 95519 Phone: 707-839-1933 Fax: 707-839-1726 |