| Theratree Community: Child & Family Counseling Inc. | |
|
1415 Oakland Blvd Ste 203 Walnut Creek CA 94596-4395 | |
| (925) 378-9456 | |
| Not Available |
| Full Name | Theratree Community: Child & Family Counseling Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1415 Oakland Blvd Ste 203, Walnut Creek, California |
| Authorized Official Name and Position | Guy Hernandez (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 9253789456 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Theratree Community: Child & Family Counseling Inc. 1415 Oakland Blvd Ste 203 Walnut Creek CA 94596-4395 Ph: (925) 378-9456 | Theratree Community: Child & Family Counseling Inc. 1415 Oakland Blvd Ste 203 Walnut Creek CA 94596-4395 Ph: (925) 378-9456 |
| NPI Number | 1376240648 |
|---|---|
| Provider Enumeration Date | 02/08/2023 |
| Last Update Date | 02/08/2023 |
| Certification Date | 02/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376240648 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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Andrew Potter, Ph.d., Psychologist, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1460 Maria Ln Ste 300, Walnut Creek, CA 94596 Phone: 617-816-1818 | |
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John Lino Gasperoni, Ph.d., Psychologist, P.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3050 Citrus Cir Ste 202, #202, Walnut Creek, CA 94598 Phone: 925-279-1046 Fax: 925-279-1146 |