| Kathleen Mcvicker | |
|
120 N Auburn St Ste 212 Grass Valley CA 95945-6277 | |
| (530) 273-1112 | |
| (530) 273-1112 |
| Full Name | Kathleen Mcvicker |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 120 N Auburn St, Grass Valley, California |
| Authorized Official Name and Position | Kathleen Mcvicker (OWNER) |
| Authorized Official Contact | 5302731112 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kathleen Mcvicker 13810 Climbing Way Nevada City CA 95959-9649 Ph: (530) 273-1112 | Kathleen Mcvicker 120 N Auburn St Ste 212 Grass Valley CA 95945-6277 Ph: (530) 273-1112 |
| NPI Number | 1811387160 |
|---|---|
| Provider Enumeration Date | 01/26/2015 |
| Last Update Date | 01/26/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811387160 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 14302 (California) | Primary |
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