| Second Wind Professional Clinical Counselor Inc | |
|
401 Boyd St Vacaville CA 95688-4521 | |
| (530) 966-8144 | |
| Not Available |
| Full Name | Second Wind Professional Clinical Counselor Inc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 401 Boyd St, Vacaville, California |
| Authorized Official Name and Position | Kristina Cook (CLINICAL DIRECTOR) |
| Authorized Official Contact | 5309668144 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Second Wind Professional Clinical Counselor Inc 401 Boyd St Vacaville CA 95688-4521 Ph: (530) 966-8144 | Second Wind Professional Clinical Counselor Inc 401 Boyd St Vacaville CA 95688-4521 Ph: (530) 966-8144 |
| NPI Number | 1336989813 |
|---|---|
| Provider Enumeration Date | 05/30/2024 |
| Last Update Date | 05/30/2024 |
| Certification Date | 05/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336989813 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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