| Growth And Change Counseling Inc | |
|
1700 Eureka Rd Ste 155-10 Roseville CA 95661-7720 | |
| (408) 461-9658 | |
| Not Available |
| Full Name | Growth And Change Counseling Inc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1700 Eureka Rd Ste 155-10, Roseville, California |
| Authorized Official Name and Position | John Kane (OWNER) |
| Authorized Official Contact | 4084619658 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Growth And Change Counseling Inc 1700 Eureka Rd Ste 155-10 Roseville CA 95661-7720 Ph: (916) 237-7052 | Growth And Change Counseling Inc 1700 Eureka Rd Ste 155-10 Roseville CA 95661-7720 Ph: (408) 461-9658 |
| NPI Number | 1487379285 |
|---|---|
| Provider Enumeration Date | 10/05/2022 |
| Last Update Date | 04/18/2024 |
| Certification Date | 04/20/2023 |
| Medicare PECOS PAC ID | 0143662122 |
|---|---|
| Medicare Enrollment ID | O20240522001039 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487379285 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Provider Name | John Mark Kane |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1376712174 PECOS PAC ID: 7416399407 Enrollment ID: I20240522001541 |
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