| County Of Siskiyou | |
|
1107 Ream Ave Mount Shasta CA 96067-9768 | |
| (530) 918-7200 | |
| (530) 918-7216 |
| Full Name | County Of Siskiyou |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1107 Ream Ave, Mount Shasta, California |
| Authorized Official Name and Position | Rose Marie Bullock (ADMINISTRATIVE SERVICES MANAGER) |
| Authorized Official Contact | 5308414732 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| County Of Siskiyou 1107 Ream Ave Mt. Shasta CA 96067 Ph: (530) 918-7200 | County Of Siskiyou 1107 Ream Ave Mount Shasta CA 96067-9768 Ph: (530) 918-7200 |
| NPI Number | 1427219237 |
|---|---|
| Provider Enumeration Date | 06/24/2008 |
| Last Update Date | 05/03/2024 |
| Certification Date | 04/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427219237 | NPI | - | NPPES |
| 01114108 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (California) | Primary |
Mbs Integrative Psychiatry Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 214 E Lake St, Mount Shasta, CA 96067 Phone: 530-435-5048 Fax: 602-603-5084 | |
Jefferson Neurology, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 822 Pine St, Mount Shasta, CA 96067 Phone: 530-926-1039 | |
Diana Muncy Lmft Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1005 Ream Ave, Mount Shasta, CA 96067 Phone: 530-941-2259 | |
Revive Medical Group Ca Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 914 Pine St, Mount Shasta, CA 96067 Phone: 203-430-1321 | |
Behavioranalystsupervisor Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 809 Mccloud Ave, Mount Shasta, CA 96067 Phone: 530-227-2883 | |
Blair Rhodes Mft Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 618 N Mount Shasta Blvd, Mount Shasta, CA 96067 Phone: 530-925-4480 Fax: 530-926-3450 |