| Contra Costa County Health Services | |
|
303 41st St Richmond CA 94805-2221 | |
| (510) 374-7159 | |
| (510) 374-3857 |
| Full Name | Contra Costa County Health Services |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 303 41st St, Richmond, California |
| Authorized Official Name and Position | Jon Eric Stenson (PROGARM SUPERVISOR) |
| Authorized Official Contact | 5103747159 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Contra Costa County Health Services 303 41st St Richmond CA 94805-2221 Ph: (510) 374-7159 | Contra Costa County Health Services 303 41st St Richmond CA 94805-2221 Ph: (510) 374-7159 |
| NPI Number | 1164575940 |
|---|---|
| Provider Enumeration Date | 01/18/2007 |
| Last Update Date | 08/08/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164575940 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 16497 (California) | Primary |
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