| Sequoia Behavioral Health | |
|
10 Jackson Ct Novato CA 94947-5532 | |
| (415) 317-2343 | |
| Not Available |
| Full Name | Sequoia Behavioral Health |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 10 Jackson Ct, Novato, California |
| Authorized Official Name and Position | Kimberly Ann Gauntlett (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4153172343 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sequoia Behavioral Health 10 Jackson Ct Novato Novato CA 94947-5532 Ph: (415) 317-2343 | Sequoia Behavioral Health 10 Jackson Ct Novato CA 94947-5532 Ph: (415) 317-2343 |
| NPI Number | 1467701649 |
|---|---|
| Provider Enumeration Date | 09/05/2012 |
| Last Update Date | 09/05/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467701649 | NPI | - | NPPES |
| 1154638740 | Other | CA | MEDI-CAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY23692 (California) | Primary |
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