| Blue Oak Charter School | |
|
450 W East Ave Chico CA 95926-7238 | |
| (530) 879-7483 | |
| (530) 879-7490 |
| Full Name | Blue Oak Charter School |
|---|---|
| Speciality | Counselor - School |
| Location | 450 W East Ave, Chico, California |
| Authorized Official Name and Position | Susan Domenighini (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5308797483 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Oak Charter School 450 W East Ave Chico CA 95926-7238 Ph: (530) 879-7483 | Blue Oak Charter School 450 W East Ave Chico CA 95926-7238 Ph: (530) 879-7483 |
| NPI Number | 1760215164 |
|---|---|
| Provider Enumeration Date | 08/21/2024 |
| Last Update Date | 08/21/2024 |
| Certification Date | 08/21/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760215164 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YS0200X | Counselor - School | (* (Not Available)) | Primary |
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