| Michael Prothero Marriage And Family Therapist And Associates Inc | |
|
438 Colusa Ave Suite A Yuba City CA 95991-4148 | |
| (530) 755-0735 | |
| (530) 755-0737 |
| Full Name | Michael Prothero Marriage And Family Therapist And Associates Inc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 438 Colusa Ave, Yuba City, California |
| Authorized Official Name and Position | Michael Wayne Prothero (OWNER) |
| Authorized Official Contact | 5307550735 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Prothero Marriage And Family Therapist And Associates Inc 438 Colusa Ave Suite A Yuba City CA 95991-4148 Ph: (530) 755-0735 | Michael Prothero Marriage And Family Therapist And Associates Inc 438 Colusa Ave Suite A Yuba City CA 95991-4148 Ph: (530) 755-0735 |
| NPI Number | 1265694954 |
|---|---|
| Provider Enumeration Date | 06/25/2008 |
| Last Update Date | 08/08/2024 |
| Certification Date | 08/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265694954 | NPI | - | NPPES |
| 1538236518 | Other | CA | SOLE PROPRIETOR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPCC808 (California) | Secondary |
| 106H00000X | Marriage & Family Therapist | MFC36329 (California) | Primary |
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