| Andrea Conner Marriage And Family Therapy Corp | |
|
19 Ditzhazy Ct Roseville CA 95678-5944 | |
| (916) 407-4382 | |
| Not Available |
| Full Name | Andrea Conner Marriage And Family Therapy Corp |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 19 Ditzhazy Ct, Roseville, California |
| Authorized Official Name and Position | Andrea Conner (CEO) |
| Authorized Official Contact | 9164074382 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Andrea Conner Marriage And Family Therapy Corp 116 S. Grant Street Ste 110-#680 Roseville CA 95678-2668 Ph: (916) 407-4382 | Andrea Conner Marriage And Family Therapy Corp 19 Ditzhazy Ct Roseville CA 95678-5944 Ph: (916) 407-4382 |
| NPI Number | 1699497404 |
|---|---|
| Provider Enumeration Date | 09/19/2022 |
| Last Update Date | 09/19/2022 |
| Certification Date | 09/18/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699497404 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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