| Radiant Soul Inc | |
|
2151 California St Apt B Concord CA 94520-2683 | |
| (925) 325-4239 | |
| Not Available |
| Full Name | Radiant Soul Inc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 2151 California St Apt B, Concord, California |
| Authorized Official Name and Position | Felecytie Rosen-hanson (DIRECTOR) |
| Authorized Official Contact | 9253254239 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Radiant Soul Inc 3400 Cottage Way Ste G2 Sacramento CA 95825-1474 Ph: (925) 325-4239 | Radiant Soul Inc 2151 California St Apt B Concord CA 94520-2683 Ph: (925) 325-4239 |
| NPI Number | 1851050421 |
|---|---|
| Provider Enumeration Date | 12/10/2021 |
| Last Update Date | 12/10/2021 |
| Certification Date | 12/10/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851050421 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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