| Northstate Mental Wellness Clinic | |
|
2920 Prospect Park Dr Rancho Cordova CA 95670-6036 | |
| (916) 378-3581 | |
| Not Available |
| Full Name | Northstate Mental Wellness Clinic |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2920 Prospect Park Dr, Rancho Cordova, California |
| Authorized Official Name and Position | Regina Isabel K'burg (CLINIC DIRECTOR) |
| Authorized Official Contact | 9162848336 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northstate Mental Wellness Clinic 2920 Prospect Park Dr Rancho Cordova CA 95670-6036 Ph: (916) 378-3581 | Northstate Mental Wellness Clinic 2920 Prospect Park Dr Rancho Cordova CA 95670-6036 Ph: (916) 378-3581 |
| NPI Number | 1750137451 |
|---|---|
| Provider Enumeration Date | 04/24/2024 |
| Last Update Date | 04/24/2024 |
| Certification Date | 04/24/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750137451 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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