| Sophie Madsen, Lcsw | |
|
468 Manzanita Ave Ste 7 Chico CA 95926-1358 | |
| (916) 996-0385 | |
| Not Available |
| Full Name | Sophie Madsen, Lcsw |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 468 Manzanita Ave Ste 7, Chico, California |
| Authorized Official Name and Position | Sophie Alexandra Madsen (OWNER) |
| Authorized Official Contact | 9169960385 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sophie Madsen, Lcsw 468 Manzanita Ave Ste 7 Chico CA 95926-1358 Ph: (916) 996-0385 | Sophie Madsen, Lcsw 468 Manzanita Ave Ste 7 Chico CA 95926-1358 Ph: (916) 996-0385 |
| NPI Number | 1508493909 |
|---|---|
| Provider Enumeration Date | 03/25/2020 |
| Last Update Date | 03/25/2020 |
| Certification Date | 03/25/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508493909 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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