| Shady Creek Therapy | |
|
289 Main St #6 Chester CA 96020-9602 | |
| (530) 713-8266 | |
| Not Available |
| Full Name | Shady Creek Therapy |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 289 Main St #6, Chester, California |
| Authorized Official Name and Position | Teri L Jackson (MARRIAGE FAMILY THERAPIST) |
| Authorized Official Contact | 5307138266 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shady Creek Therapy Po Box 673 Chester CA 96020-0673 Ph: (530) 713-8266 | Shady Creek Therapy 289 Main St #6 Chester CA 96020-9602 Ph: (530) 713-8266 |
| NPI Number | 1710543483 |
|---|---|
| Provider Enumeration Date | 05/17/2019 |
| Last Update Date | 05/17/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710543483 | NPI | - | NPPES |
| 1700983509 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
Chester Wellness And Family Resource Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 372 Main Street, Chester, CA 96122 Phone: 530-259-4156 |