Silver Fiddle Therapy | |
19881 State Highway 88 Pine Grove CA 95665-9495 | |
(209) 560-6012 | |
Not Available |
Full Name | Silver Fiddle Therapy |
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Speciality | Marriage & Family Therapist |
Location | 19881 State Highway 88, Pine Grove, California |
Authorized Official Name and Position | Lola Marie Blevins (PRESIDENT) |
Authorized Official Contact | 2093048821 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Silver Fiddle Therapy Po Box 182 Volcano CA 95689-0182 Ph: (209) 304-8821 | Silver Fiddle Therapy 19881 State Highway 88 Pine Grove CA 95665-9495 Ph: (209) 560-6012 |
NPI Number | 1639739121 |
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Provider Enumeration Date | 06/17/2019 |
Last Update Date | 06/17/2019 |
Identifier | Type | State | Issuer |
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1639739121 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |