Mobile Support Team | |
2255 Challenger Way Ste 107 Santa Rosa CA 95407-5423 | |
(707) 565-4738 | |
Not Available |
Full Name | Mobile Support Team |
---|---|
Speciality | Marriage & Family Therapist |
Location | 2255 Challenger Way Ste 107, Santa Rosa, California |
Authorized Official Name and Position | Ruby Zhang (FISCAL ANALYST) |
Authorized Official Contact | 7075657846 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Mobile Support Team 2255 Challenger Way Ste 107 Santa Rosa CA 95407-5423 Ph: (707) 565-4738 | Mobile Support Team 2255 Challenger Way Ste 107 Santa Rosa CA 95407-5423 Ph: (707) 565-4738 |
NPI Number | 1407621055 |
---|---|
Provider Enumeration Date | 11/22/2023 |
Last Update Date | 01/23/2024 |
Certification Date | 01/23/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1407621055 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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