| Fenwood Licensed Professional Clinical Counselor, Pc | |
|
5800 Stanford Ranch Rd Ste 610 Rocklin CA 95765-4387 | |
| (916) 251-9474 | |
| Not Available |
| Full Name | Fenwood Licensed Professional Clinical Counselor, Pc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 5800 Stanford Ranch Rd Ste 610, Rocklin, California |
| Authorized Official Name and Position | Lindsey Buck-moyer (OWNER/CEO) |
| Authorized Official Contact | 9162519474 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fenwood Licensed Professional Clinical Counselor, Pc 8690 Sierra College Blvd Ste 160-140 Roseville CA 95661-5961 Ph: (916) 251-9474 | Fenwood Licensed Professional Clinical Counselor, Pc 5800 Stanford Ranch Rd Ste 610 Rocklin CA 95765-4387 Ph: (916) 251-9474 |
| NPI Number | 1114770989 |
|---|---|
| Provider Enumeration Date | 04/10/2024 |
| Last Update Date | 04/10/2024 |
| Certification Date | 04/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114770989 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Vicki Barker, Lmft, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5701 Lonetree Blvd Ste 203i, Rocklin, CA 95765 Phone: 916-316-1254 | |
Center Of Excellence In Pediatric Neurology Medical Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5800 Stanford Ranch Rd, Building 800, Rocklin, CA 95765 Phone: 916-836-8500 Fax: 916-758-2924 | |
Ipsychological Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 6518 Lonetree Blvd Ste 152, Rocklin, CA 95765 Phone: 916-975-4358 | |
Rocklin Rehab Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4960 Rocklin Rd Ste 200, Rocklin, CA 95677 Phone: 310-343-8684 | |
Authentic Heart Family Counseling Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6520 Lonetree Blvd Ste 120, Rocklin, CA 95765 Phone: 916-889-3682 | |
Hearyou.org Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5701 Lonetree Blvd Ste 210, Rocklin, CA 95765 Phone: 833-432-7968 |