| Patriot Counseling Services | |
|
545 W Sierra St Portola CA 96122-8615 | |
| (775) 848-9771 | |
| Not Available |
| Full Name | Patriot Counseling Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 545 W Sierra St, Portola, California |
| Authorized Official Name and Position | Charla Ann Rush (PRESIDENT OF AGENCY AND TREATMENT P) |
| Authorized Official Contact | 7758489771 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Patriot Counseling Services 165 Ridge St Portola CA 96122-8609 Ph: (775) 848-9771 | Patriot Counseling Services 545 W Sierra St Portola CA 96122-8615 Ph: (775) 848-9771 |
| NPI Number | 1114467552 |
|---|---|
| Provider Enumeration Date | 03/05/2017 |
| Last Update Date | 03/17/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114467552 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Portola Wellness Family Resource Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 280 E Sierra Ave, Portola, CA 96122 Phone: 530-283-6307 Fax: 530-283-6045 |