| The Little Village, Inc | |
|
241 E Main St Grass Valley CA 95945-6507 | |
| (530) 802-5207 | |
| (530) 802-5207 |
| Full Name | The Little Village, Inc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 241 E Main St, Grass Valley, California |
| Authorized Official Name and Position | Paulette M Lucier (OWNER) |
| Authorized Official Contact | 5308025207 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Little Village, Inc 241 E Main St Grass Valley CA 95945-6507 Ph: (530) 802-5207 | The Little Village, Inc 241 E Main St Grass Valley CA 95945-6507 Ph: (530) 802-5207 |
| NPI Number | 1376814004 |
|---|---|
| Provider Enumeration Date | 01/26/2012 |
| Last Update Date | 05/13/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376814004 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | MFT38010 (California) | Primary |
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