| Rising Tides Counseling, Llc | |
|
206 Fourth St Suite C Yreka CA 96097 | |
| (530) 983-6299 | |
| Not Available |
| Full Name | Rising Tides Counseling, Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 206 Fourth St, Yreka, California |
| Authorized Official Name and Position | Tracee Diaz Capurro (LLC MEMBER) |
| Authorized Official Contact | 5309836299 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rising Tides Counseling, Llc 206 4th St Ste C Yreka CA 96097-2951 Ph: (530) 983-6299 | Rising Tides Counseling, Llc 206 Fourth St Suite C Yreka CA 96097 Ph: (530) 983-6299 |
| NPI Number | 1740003102 |
|---|---|
| Provider Enumeration Date | 11/05/2024 |
| Last Update Date | 11/05/2024 |
| Certification Date | 11/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740003102 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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