| Chrysalis Community Counseling Services | |
|
1821 4th St Santa Rosa CA 95404-3202 | |
| (707) 545-7670 | |
| (707) 545-3715 |
| Full Name | Chrysalis Community Counseling Services |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1821 4th St, Santa Rosa, California |
| Authorized Official Name and Position | Lisa Mathiesen (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7075451670 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chrysalis Community Counseling Services 1821 4th St Santa Rosa CA 95404-3202 Ph: (707) 545-7670 | Chrysalis Community Counseling Services 1821 4th St Santa Rosa CA 95404-3202 Ph: (707) 545-7670 |
| NPI Number | 1780055897 |
|---|---|
| Provider Enumeration Date | 10/14/2015 |
| Last Update Date | 10/14/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780055897 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (California) | Primary |
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