| Hearthstone Counseling Services, Inc. | |
|
1380 Lead Hill Blvd Ste. 110 Roseville CA 95661-2941 | |
| (916) 481-4585 | |
| (916) 786-3080 |
| Full Name | Hearthstone Counseling Services, Inc. |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1380 Lead Hill Blvd, Roseville, California |
| Authorized Official Name and Position | Robert Winston Bennett (C.E.O.) |
| Authorized Official Contact | 9165564178 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hearthstone Counseling Services, Inc. 1380 Lead Hill Blvd Ste. 110 Roseville CA 95661-2941 Ph: (916) 481-4585 | Hearthstone Counseling Services, Inc. 1380 Lead Hill Blvd Ste. 110 Roseville CA 95661-2941 Ph: (916) 481-4585 |
| NPI Number | 1891787644 |
|---|---|
| Provider Enumeration Date | 08/18/2005 |
| Last Update Date | 08/09/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891787644 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY17517 (California) | Primary |
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