| Fall Creek Counceling Associates | |
|
775 Sunrise Ave 110 Roseville CA 95661-4523 | |
| (916) 595-7233 | |
| Not Available |
| Full Name | Fall Creek Counceling Associates |
|---|---|
| Speciality | Psychologist |
| Location | 775 Sunrise Ave, Roseville, California |
| Authorized Official Name and Position | Debra L Moore (CLINICAL DIRECTOR) |
| Authorized Official Contact | 9163440900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fall Creek Counceling Associates 775 Sunrise Ave 110 Roseville CA 95661-4523 Ph: (916) 595-7233 | Fall Creek Counceling Associates 775 Sunrise Ave 110 Roseville CA 95661-4523 Ph: (916) 595-7233 |
| NPI Number | 1083896658 |
|---|---|
| Provider Enumeration Date | 12/05/2007 |
| Last Update Date | 12/05/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083896658 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PSY20662 (California) | Primary |
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