| Valley Community Counseling Services, Inc | |
|
1300 W Lodi Ave Ste G-2 Lodi CA 95242-3000 | |
| (209) 956-4240 | |
| (209) 956-4245 |
| Full Name | Valley Community Counseling Services, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1300 W Lodi Ave, Lodi, California |
| Authorized Official Name and Position | Sue Sutherland (FISCAL MANAGER) |
| Authorized Official Contact | 2099564240 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Valley Community Counseling Services, Inc 1300 W Lodi Ave Ste G-2 Lodi CA 95242-3000 Ph: (209) 956-4240 | Valley Community Counseling Services, Inc 1300 W Lodi Ave Ste G-2 Lodi CA 95242-3000 Ph: (209) 956-4240 |
| NPI Number | 1053535062 |
|---|---|
| Provider Enumeration Date | 04/12/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053535062 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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