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203 N 1st Ave Oakdale CA 95361-3048 | |
| (209) 845-9037 | |
| (209) 322-3291 |
| Full Name | |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 203 N 1st Ave, Oakdale, California |
| Authorized Official Name and Position | Emilia Desiree Santucci (LICENSED MARRIAGE FAMILY THERAPIST) |
| Authorized Official Contact | 2096052591 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
203 N 1st Ave Oakdale CA 95361-3048 Ph: (209) 845-9037 | 203 N 1st Ave Oakdale CA 95361-3048 Ph: (209) 845-9037 |
| NPI Number | 1255687919 |
|---|---|
| Provider Enumeration Date | 07/31/2012 |
| Last Update Date | 07/31/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255687919 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | MFC39006 (California) | Primary |
Wellspring Counseling Ministries, A Project Of Ucp Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 603 W F St, Oakdale, CA 95361 Phone: 209-322-9801 Fax: 209-848-8825 | |
Jeanette Kay Lasater Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 603 W F St, Oakdale, CA 95361 Phone: 209-288-2682 Fax: 209-288-2682 | |