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1074 East Ave Suite A-4 Chico CA 95926-1005 | |
(530) 521-8621 | |
(530) 636-4888 |
Full Name | |
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Speciality | Marriage & Family Therapist |
Location | 1074 East Ave, Chico, California |
Authorized Official Name and Position | Judith L Thompson (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 5305926322 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1380 East Ave Suite 124 Pmb 173 Chico CA 95926-7349 Ph: (530) 592-6322 | 1074 East Ave Suite A-4 Chico CA 95926-1005 Ph: (530) 521-8621 |
NPI Number | 1952849622 |
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Provider Enumeration Date | 02/02/2017 |
Last Update Date | 02/02/2017 |
Identifier | Type | State | Issuer |
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1952849622 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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106H00000X | Marriage & Family Therapist | 41343 (California) | Primary |
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