| Full Name | |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 197 Mono Way, Sonora, California |
| Authorized Official Name and Position | Tamara Demello Mariscal (HCIS) |
| Authorized Official Contact | 2095336261 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2 S Green Street Sonora CA 95370-5163 Ph: (209) 533-6245 | 197 Mono Way Sonora CA 95370-5163 Ph: (209) 533-5400 |
| NPI Number | 1619043320 |
|---|---|
| Provider Enumeration Date | 11/27/2006 |
| Last Update Date | 02/02/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619043320 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Natalie Gray Lmft Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 19526 Hillsdale Dr Ste B, Sonora, CA 95370 Phone: 209-352-5105 | |
Tiffany Nath Lmft Marriage And Family Therapy Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 134 N Washington St Ste 1, Sonora, CA 95370 Phone: 209-743-3553 Fax: 209-533-3990 | |
Affinity Health And Wellness Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 531 S Washington St, Sonora, CA 95370 Phone: 209-559-2432 Fax: 209-532-5003 | |
Central Sierra Counseling Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 950 S Washington St, Sonora, CA 95370 Phone: 209-536-4874 Fax: 209-536-4232 | |