| Therapy Link, Licensed Clinical Social Worker, Inc. | |
|
14011 Lodgepole Ct Penn Valley CA 95946-9128 | |
| (916) 599-5524 | |
| Not Available |
| Full Name | Therapy Link, Licensed Clinical Social Worker, Inc. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 14011 Lodgepole Ct, Penn Valley, California |
| Authorized Official Name and Position | Alysa Harless Johnson (CEO/MANAGER) |
| Authorized Official Contact | 9164070047 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Therapy Link, Licensed Clinical Social Worker, Inc. 11354 Pleasant Valley Rd # 94 Penn Valley CA 95946-9000 Ph: (916) 407-0047 | Therapy Link, Licensed Clinical Social Worker, Inc. 14011 Lodgepole Ct Penn Valley CA 95946-9128 Ph: (916) 599-5524 |
| NPI Number | 1629726328 |
|---|---|
| Provider Enumeration Date | 03/13/2022 |
| Last Update Date | 03/13/2022 |
| Certification Date | 03/13/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629726328 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |