| Authentic Counseling Associates - A Psychological Corporation | |
|
11344 Coloma Rd Suite 435 Gold River CA 95670-4457 | |
| (916) 709-1170 | |
| Not Available |
| Full Name | Authentic Counseling Associates - A Psychological Corporation |
|---|---|
| Speciality | Psychologist |
| Location | 11344 Coloma Rd, Gold River, California |
| Authorized Official Name and Position | Christopher Lewis Mathe (CLINICAL DIRECTOR) |
| Authorized Official Contact | 9167091170 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Authentic Counseling Associates - A Psychological Corporation 11344 Coloma Rd Suite 435 Gold River CA 95670-4457 Ph: (916) 709-1170 | Authentic Counseling Associates - A Psychological Corporation 11344 Coloma Rd Suite 435 Gold River CA 95670-4457 Ph: (916) 709-1170 |
| NPI Number | 1003165846 |
|---|---|
| Provider Enumeration Date | 09/07/2012 |
| Last Update Date | 09/07/2012 |
| Medicare PECOS PAC ID | 4486895315 |
|---|---|
| Medicare Enrollment ID | O20130718000560 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003165846 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Jonathan Venn |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1548338940 PECOS PAC ID: 2466412929 Enrollment ID: I20090505000432 |
| Provider Name | Christopher L Mathe |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1568756799 PECOS PAC ID: 8921249855 Enrollment ID: I20130719000060 |
| Provider Name | Megan E Rhoads |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1194013003 PECOS PAC ID: 5799045589 Enrollment ID: I20180216001787 |
| Provider Name | Kristin Lyn Kaminski-wadle |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1245779552 PECOS PAC ID: 2961736244 Enrollment ID: I20190619002788 |
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