Soulful Somatics Licensed Clinical Social Worker Pc | |
4 Governors Ln Ste C Chico CA 95926-5514 | |
(530) 531-3459 | |
(844) 525-7544 |
Full Name | Soulful Somatics Licensed Clinical Social Worker Pc |
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Speciality | Social Worker - Clinical |
Location | 4 Governors Ln Ste C, Chico, California |
Authorized Official Name and Position | Krisrin Brooke Free (CEO/OWNER) |
Authorized Official Contact | 5303540455 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Soulful Somatics Licensed Clinical Social Worker Pc 4 Governors Ln Ste C Chico CA 95926-5514 Ph: (530) 531-3459 | Soulful Somatics Licensed Clinical Social Worker Pc 4 Governors Ln Ste C Chico CA 95926-5514 Ph: (530) 531-3459 |
NPI Number | 1164135604 |
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Provider Enumeration Date | 12/29/2022 |
Last Update Date | 12/29/2022 |
Certification Date | 12/29/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164135604 | NPI | - | NPPES |
592984 | Medicaid | CA |
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