| Small Town Counseling Ca, Inc. | |
|
460 N Yosemite Ave Ste 9 Oakdale CA 95361-2755 | |
| (209) 968-1707 | |
| Not Available |
| Full Name | Small Town Counseling Ca, Inc. |
|---|---|
| Speciality | Social Worker |
| Location | 460 N Yosemite Ave Ste 9, Oakdale, California |
| Authorized Official Name and Position | Alyssa R Najera (CEO) |
| Authorized Official Contact | 2099681707 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Small Town Counseling Ca, Inc. Po Box 1192 Riverbank CA 95367-1192 Ph: (209) 968-1707 | Small Town Counseling Ca, Inc. 460 N Yosemite Ave Ste 9 Oakdale CA 95361-2755 Ph: (209) 968-1707 |
| NPI Number | 1427527449 |
|---|---|
| Provider Enumeration Date | 11/20/2018 |
| Last Update Date | 11/03/2020 |
| Certification Date | 11/03/2020 |
| Medicare PECOS PAC ID | 3678906187 |
|---|---|
| Medicare Enrollment ID | O20191213000401 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427527449 | NPI | - | NPPES |
| Provider Name | Alyssa Raquel Najera |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003260209 PECOS PAC ID: 5496188906 Enrollment ID: I20191213000461 |
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