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6150 Orr Springs Rd Ukiah CA 95482-9032 | |
| (707) 462-5056 | |
| (707) 462-5205 |
| Full Name | |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 6150 Orr Springs Rd, Ukiah, California |
| Authorized Official Name and Position | Victoria Jersuha Kelly (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 7074622010 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 2077 Ukiah CA 95482 Ph: (707) 462-5056 | 6150 Orr Springs Rd Ukiah CA 95482-9032 Ph: (707) 462-5056 |
| NPI Number | 1285772251 |
|---|---|
| Provider Enumeration Date | 02/02/2007 |
| Last Update Date | 01/21/2020 |
| Certification Date | 01/21/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285772251 | NPI | - | NPPES |
| 49EF1 | Other | CA | SONOMA CO PROVIDER NO. |
| 01234708 | Medicaid | CA | |
| 23BB | Other | CA | MENDOCINO CO MH SITE # |
Adventist Health Physicians Network Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 260 Hospital Dr Ste 101, Ukiah, CA 95482 Phone: 707-463-7428 | |
Tapestry Family Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 564 S Dora St Ste D, Ukiah, CA 95482 Phone: 707-463-0405 | |
Cep America - Neurology Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 275 Hospital Dr, Ukiah, CA 95482 Phone: 707-462-3111 | |
Bridging World Behavioral Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 415 W Perkins St, Ukiah, CA 95482 Phone: 707-391-6400 Fax: 707-634-1416 |