| Kristina Rockholt Psychotherapy Inc. | |
|
2240 Johbabe Ln Rescue CA 95672-9346 | |
| (916) 932-8570 | |
| Not Available |
| Full Name | Kristina Rockholt Psychotherapy Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2240 Johbabe Ln, Rescue, California |
| Authorized Official Name and Position | Kristina Rockholt (OWNER) |
| Authorized Official Contact | 9169328570 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kristina Rockholt Psychotherapy Inc. Po Box 40 Rescue CA 95672-0040 Ph: (916) 932-8570 | Kristina Rockholt Psychotherapy Inc. 2240 Johbabe Ln Rescue CA 95672-9346 Ph: (916) 932-8570 |
| NPI Number | 1598444663 |
|---|---|
| Provider Enumeration Date | 07/14/2023 |
| Last Update Date | 07/14/2023 |
| Certification Date | 07/14/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598444663 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |