| Contra Costa County | |
|
2400 Bisso Ln Ste 2 Concord CA 94520-4832 | |
| (925) 608-6700 | |
| (925) 608-6741 |
| Full Name | Contra Costa County |
|---|---|
| Speciality | Counselor |
| Location | 2400 Bisso Ln Ste 2, Concord, California |
| Authorized Official Name and Position | Robert H Decesare (FISCAL MANAGER) |
| Authorized Official Contact | 9259575429 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Contra Costa County 2400 Bisso Ln Ste 2 Concord CA 94520-4832 Ph: (925) 608-6700 | Contra Costa County 2400 Bisso Ln Ste 2 Concord CA 94520-4832 Ph: (925) 608-6700 |
| NPI Number | 1356081632 |
|---|---|
| Provider Enumeration Date | 04/01/2022 |
| Last Update Date | 04/01/2022 |
| Certification Date | 03/30/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356081632 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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