Sequoia Mind Health | |
1506 4th St Santa Rosa CA 95404-4018 | |
(707) 529-9573 | |
Not Available |
Full Name | Sequoia Mind Health |
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Speciality | Psychiatry & Neurology - Psychiatry |
Location | 1506 4th St, Santa Rosa, California |
Authorized Official Name and Position | Cuyler Goodwin (PRESIDENT) |
Authorized Official Contact | 7075299573 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Sequoia Mind Health 1506 4th St Santa Rosa CA 95404-4018 Ph: (707) 529-9573 | Sequoia Mind Health 1506 4th St Santa Rosa CA 95404-4018 Ph: (707) 529-9573 |
NPI Number | 1578915625 |
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Provider Enumeration Date | 07/12/2016 |
Last Update Date | 07/12/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1578915625 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 20A13049 (California) | Primary |
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