| Full Cup Wellness Psychology Professional Corporation | |
|
1700 Eureka Rd Ste 155 Roseville CA 95661-7786 | |
| (916) 705-2896 | |
| Not Available |
| Full Name | Full Cup Wellness Psychology Professional Corporation |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1700 Eureka Rd Ste 155, Roseville, California |
| Authorized Official Name and Position | Holly Spotts (OWNER) |
| Authorized Official Contact | 9167052896 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Full Cup Wellness Psychology Professional Corporation Po Box 506 Folsom CA 95763-0506 Ph: (916) 705-2896 | Full Cup Wellness Psychology Professional Corporation 1700 Eureka Rd Ste 155 Roseville CA 95661-7786 Ph: (916) 705-2896 |
| NPI Number | 1033864814 |
|---|---|
| Provider Enumeration Date | 02/19/2022 |
| Last Update Date | 02/19/2022 |
| Certification Date | 02/19/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033864814 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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