| Cwc Marriage And Family Therapy Corporation | |
|
2200-b Douglas Blvd., Suite 140 Roseville CA 95661 | |
| (916) 299-7271 | |
| Not Available |
| Full Name | Cwc Marriage And Family Therapy Corporation |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 2200-b Douglas Blvd., Suite 140, Roseville, California |
| Authorized Official Name and Position | Courtney Mickles (CEO) |
| Authorized Official Contact | 7202727848 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cwc Marriage And Family Therapy Corporation Po Box 2711 Granite Bay CA 95746 Ph: (720) 272-7848 | Cwc Marriage And Family Therapy Corporation 2200-b Douglas Blvd., Suite 140 Roseville CA 95661 Ph: (916) 299-7271 |
| NPI Number | 1083390892 |
|---|---|
| Provider Enumeration Date | 06/26/2023 |
| Last Update Date | 06/29/2023 |
| Certification Date | 06/29/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083390892 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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