| Individual And Family Counseling Clinic For Healing And Change | |
|
3120 O St Sacramento CA 95816-6519 | |
| (209) 406-0445 | |
| Not Available |
| Full Name | Individual And Family Counseling Clinic For Healing And Change |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 3120 O St, Sacramento, California |
| Authorized Official Name and Position | Lindsay Conner (CFO) |
| Authorized Official Contact | 2094060445 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Individual And Family Counseling Clinic For Healing And Change 9854 New Hope Rd Galt CA 95632-8807 Ph: (209) 406-0445 | Individual And Family Counseling Clinic For Healing And Change 3120 O St Sacramento CA 95816-6519 Ph: (209) 406-0445 |
| NPI Number | 1205552031 |
|---|---|
| Provider Enumeration Date | 10/13/2022 |
| Last Update Date | 05/30/2023 |
| Certification Date | 05/30/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205552031 | NPI | - | NPPES |
| 1679843270 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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