| Reflective Practices Therapeutic Services | |
|
1100 Main St Ste C Fortuna CA 95540-2148 | |
| (707) 682-9331 | |
| (707) 306-7449 |
| Full Name | Reflective Practices Therapeutic Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1100 Main St Ste C, Fortuna, California |
| Authorized Official Name and Position | Concepcion Leona Sousa (OWNER) |
| Authorized Official Contact | 7076829331 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Reflective Practices Therapeutic Services 1100 Main St Ste C Fortuna CA 95540-2148 Ph: (707) 682-9331 | Reflective Practices Therapeutic Services 1100 Main St Ste C Fortuna CA 95540-2148 Ph: (707) 682-9331 |
| NPI Number | 1104576800 |
|---|---|
| Provider Enumeration Date | 03/25/2022 |
| Last Update Date | 03/25/2022 |
| Certification Date | 03/25/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104576800 | NPI | - | NPPES |
| 1346422672 | Other | CA | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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