| Foster Parent Therapy | |
|
490 Chadbourne Rd Ste A122 Fairfield CA 94534-1864 | |
| (209) 507-2547 | |
| Not Available |
| Full Name | Foster Parent Therapy |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 490 Chadbourne Rd Ste A122, Fairfield, California |
| Authorized Official Name and Position | Chelsea A Mcgowan (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 2095072547 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Foster Parent Therapy 490 Chadbourne Rd Ste A122 Fairfield CA 94534-1864 Ph: (209) 507-2547 | Foster Parent Therapy 490 Chadbourne Rd Ste A122 Fairfield CA 94534-1864 Ph: (209) 507-2547 |
| NPI Number | 1881451367 |
|---|---|
| Provider Enumeration Date | 03/01/2024 |
| Last Update Date | 03/01/2024 |
| Certification Date | 03/01/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881451367 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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