| Palo Verde Therapy, Inc. | |
|
160 Cherry Ave. Auburn CA 95603 | |
| (530) 906-2319 | |
| Not Available |
| Full Name | Palo Verde Therapy, Inc. |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 160 Cherry Ave., Auburn, California |
| Authorized Official Name and Position | Pamela Gaston Shore (CLINICIAN/OWNER/PRESIDENT) |
| Authorized Official Contact | 5309052319 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Palo Verde Therapy, Inc. 160 Cherry Ave. Auburn CA 95603 Ph: (530) 906-2319 | Palo Verde Therapy, Inc. 160 Cherry Ave. Auburn CA 95603 Ph: (530) 906-2319 |
| NPI Number | 1861548612 |
|---|---|
| Provider Enumeration Date | 01/26/2007 |
| Last Update Date | 06/20/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861548612 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 00847-L (Nevada) | Secondary |
| 106H00000X | Marriage & Family Therapist | 0901 (Nevada) | Primary |
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