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465 Pomona Ave Oroville CA 95965-4582 | |
(530) 534-6934 | |
(530) 534-5463 |
Full Name | |
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Speciality | Marriage & Family Therapist |
Location | 465 Pomona Ave, Oroville, California |
Authorized Official Name and Position | Timothy M. Harlan (PRESIDENT) |
Authorized Official Contact | 5305346934 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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465 Pomona Ave Oroville CA 95965-4582 Ph: (530) 534-6934 | 465 Pomona Ave Oroville CA 95965-4582 Ph: (530) 534-6934 |
NPI Number | 1689865198 |
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Provider Enumeration Date | 08/08/2007 |
Last Update Date | 08/08/2007 |
Identifier | Type | State | Issuer |
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1689865198 | NPI | - | NPPES |
0001028588 | Other | CA | MANAGED HEALTH NETWORK |
ZZZ90432Z | Other | CA | BLUE SHIELD |
A321737 | Other | NY | VALUE OPTIONS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | MFT15324 (California) | Primary |
Victor Community Support Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2185 Baldwin Ave, Oroville, CA 95966 Phone: 530-267-1768 | |