| Child Parent Institute- Children's Counseling Clinic | |
|
3650 Standish Ave Santa Rosa CA 95407 | |
| (707) 585-6108 | |
| (707) 585-2158 |
| Full Name | Child Parent Institute- Children's Counseling Clinic |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3650 Standish Ave, Santa Rosa, California |
| Authorized Official Name and Position | Audrey E Boggs (CLINIC DIRECTOR) |
| Authorized Official Contact | 7075856108 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Child Parent Institute- Children's Counseling Clinic 3650 Standish Ave Santa Rosa CA 95407-8113 Ph: (707) 585-6108 | Child Parent Institute- Children's Counseling Clinic 3650 Standish Ave Santa Rosa CA 95407 Ph: (707) 585-6108 |
| NPI Number | 1669590451 |
|---|---|
| Provider Enumeration Date | 03/27/2007 |
| Last Update Date | 12/11/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669590451 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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