| Healing Roots Curando Raices Llc | |
|
3000 Newburg Rd Ste B Fortuna CA 95540-2599 | |
| (510) 717-3266 | |
| Not Available |
| Full Name | Healing Roots Curando Raices Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 3000 Newburg Rd Ste B, Fortuna, California |
| Authorized Official Name and Position | Michelle N Ulloa (OWNER) |
| Authorized Official Contact | 5107173266 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Healing Roots Curando Raices Llc 3000 Newburg Rd Ste B Fortuna CA 95540-2599 Ph: (510) 717-3266 | Healing Roots Curando Raices Llc 3000 Newburg Rd Ste B Fortuna CA 95540-2599 Ph: (510) 717-3266 |
| NPI Number | 1730933995 |
|---|---|
| Provider Enumeration Date | 04/15/2024 |
| Last Update Date | 08/05/2024 |
| Certification Date | 08/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730933995 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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