| Denham Counseling Center Inc | |
|
419 Elizabeth St Ste 5 Vacaville CA 95688-4602 | |
| (707) 447-4453 | |
| (707) 447-1529 |
| Full Name | Denham Counseling Center Inc |
|---|---|
| Speciality | Social Worker |
| Location | 419 Elizabeth St Ste 5, Vacaville, California |
| Authorized Official Name and Position | Kathryn R Denham (OWNER) |
| Authorized Official Contact | 7074474453 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Denham Counseling Center Inc 796 Roscommon Dr Vacaville CA 95688-9258 Ph: () - | Denham Counseling Center Inc 419 Elizabeth St Ste 5 Vacaville CA 95688-4602 Ph: (707) 447-4453 |
| NPI Number | 1366097495 |
|---|---|
| Provider Enumeration Date | 08/06/2019 |
| Last Update Date | 08/06/2019 |
| Medicare PECOS PAC ID | 0749619567 |
|---|---|
| Medicare Enrollment ID | O20200330003753 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366097495 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Kathryn R Denham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881730513 PECOS PAC ID: 2365627304 Enrollment ID: I20110506000185 |
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