| Julie Kirkes | |
|
5342 Dudley Blvd. Mccl/116 Mcclellan CA 95652 | |
| (916) 561-7627 | |
| Not Available |
| Full Name | Julie Kirkes |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5342 Dudley Blvd., Mcclellan, California |
| Authorized Official Name and Position | Julie Tracy (OWNER) |
| Authorized Official Contact | 5756420984 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Julie Kirkes Po Box 2344 North Highlands CA 95660-8344 Ph: (575) 642-0984 | Julie Kirkes 5342 Dudley Blvd. Mccl/116 Mcclellan CA 95652 Ph: (916) 561-7627 |
| NPI Number | 1457739328 |
|---|---|
| Provider Enumeration Date | 05/12/2015 |
| Last Update Date | 01/18/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457739328 | NPI | - | NPPES |
| 15204278 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | C-07799 (New Mexico) | Primary |
Emilce Integrative Care, A Psychological Corporation Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 4931 Arnold Ave Ste 10, Mcclellan, CA 95652 Phone: 916-265-4008 | |
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