| Willow Creek Clinic | |
|
77 Walnut Way Willow Creek CA 95573 | |
| (707) 268-2990 | |
| Not Available |
| Full Name | Willow Creek Clinic |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 77 Walnut Way, Willow Creek, California |
| Authorized Official Name and Position | Emi Botzler-rogers (BEHAVIORAL HEALTH DIRECTOR) |
| Authorized Official Contact | 7072682990 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Willow Creek Clinic 720 Wood St Eureka CA 95501-4413 Ph: () - | Willow Creek Clinic 77 Walnut Way Willow Creek CA 95573 Ph: (707) 268-2990 |
| NPI Number | 1194025890 |
|---|---|
| Provider Enumeration Date | 10/27/2010 |
| Last Update Date | 08/10/2020 |
| Certification Date | 08/10/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194025890 | NPI | - | NPPES |
| 0000012AM | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Michael N Sonn, Licensed Clinical Social Worker, Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 114 Orchard Ln, Willow Creek, CA 95573 Phone: 707-633-8054 |