| Chico Affirmative Therapy A Licensed Marriage And Family Thera | |
|
852 Manzanita Ct Ste 155 Chico CA 95926-2399 | |
| (530) 361-5303 | |
| (530) 255-2152 |
| Full Name | Chico Affirmative Therapy A Licensed Marriage And Family Thera |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 852 Manzanita Ct Ste 155, Chico, California |
| Authorized Official Name and Position | Kathleen Dahlstrom (DIRECTOR/OWNER) |
| Authorized Official Contact | 5303615303 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chico Affirmative Therapy A Licensed Marriage And Family Thera Po Box 6939 Chico CA 95927-6939 Ph: (530) 361-5303 | Chico Affirmative Therapy A Licensed Marriage And Family Thera 852 Manzanita Ct Ste 155 Chico CA 95926-2399 Ph: (530) 361-5303 |
| NPI Number | 1437902053 |
|---|---|
| Provider Enumeration Date | 04/11/2024 |
| Last Update Date | 10/28/2024 |
| Certification Date | 10/28/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437902053 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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