| Fourth Street Christian Therapists | |
|
1622 4th St Santa Rosa CA 95404-4020 | |
| (707) 571-1714 | |
| Not Available |
| Full Name | Fourth Street Christian Therapists |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1622 4th St, Santa Rosa, California |
| Authorized Official Name and Position | Joy Lyn Kendall (PRESIDENT/OWNER) |
| Authorized Official Contact | 7075356615 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fourth Street Christian Therapists 1622 4th St Santa Rosa CA 95404-4020 Ph: (707) 535-6615 | Fourth Street Christian Therapists 1622 4th St Santa Rosa CA 95404-4020 Ph: (707) 571-1714 |
| NPI Number | 1740830389 |
|---|---|
| Provider Enumeration Date | 09/16/2019 |
| Last Update Date | 07/23/2024 |
| Certification Date | 07/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740830389 | NPI | - | NPPES |
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