| Once Upon A Time Family Therapy Center | |
|
696 Whiting St Grass Valley CA 95945-7543 | |
| (530) 263-8995 | |
| Not Available |
| Full Name | Once Upon A Time Family Therapy Center |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 696 Whiting St, Grass Valley, California |
| Authorized Official Name and Position | Shannon S O'shea (CO-PRESIDENT) |
| Authorized Official Contact | 5302638995 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Once Upon A Time Family Therapy Center Po Box 2344 Grass Valley CA 95945-2344 Ph: (530) 264-6144 | Once Upon A Time Family Therapy Center 696 Whiting St Grass Valley CA 95945-7543 Ph: (530) 263-8995 |
| NPI Number | 1184288516 |
|---|---|
| Provider Enumeration Date | 05/01/2019 |
| Last Update Date | 10/28/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184288516 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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