Authentic Connections Psychotherapy, Inc. | |
10368 Donner Pass Rd Truckee CA 96161-0427 | |
(530) 536-0663 | |
Not Available |
Full Name | Authentic Connections Psychotherapy, Inc. |
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Speciality | Psychologist - Clinical |
Location | 10368 Donner Pass Rd, Truckee, California |
Authorized Official Name and Position | Perrine Portillo (PRESIDENT) |
Authorized Official Contact | 5305360663 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Authentic Connections Psychotherapy, Inc. 11260 Donner Pass Rd. Ste C1 Pmb 635 Truckee CA 96161 Ph: (530) 536-0663 | Authentic Connections Psychotherapy, Inc. 10368 Donner Pass Rd Truckee CA 96161-0427 Ph: (530) 536-0663 |
NPI Number | 1255084745 |
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Provider Enumeration Date | 02/03/2022 |
Last Update Date | 02/03/2022 |
Certification Date | 02/03/2022 |
Identifier | Type | State | Issuer |
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1255084745 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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