| Youth Empowerment Siskiyou | |
|
907 4th St Yreka CA 96097-3313 | |
| (530) 841-0844 | |
| Not Available |
| Full Name | Youth Empowerment Siskiyou |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 907 4th St, Yreka, California |
| Authorized Official Name and Position | Sarah Springfield (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5308410844 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Youth Empowerment Siskiyou Po Box 1337 Yreka CA 96097-1337 Ph: (530) 841-0844 | Youth Empowerment Siskiyou 907 4th St Yreka CA 96097-3313 Ph: (530) 841-0844 |
| NPI Number | 1225796956 |
|---|---|
| Provider Enumeration Date | 11/30/2021 |
| Last Update Date | 11/30/2021 |
| Certification Date | 11/30/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225796956 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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