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NPI Code Detail

MEDICARE: CROSS CREEK COUNSELING

MEDICARE: CROSS CREEK COUNSELING
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1376604967
Entity Type Code : Organization
Provider Name (Legal Business Name) : CROSS CREEK COUNSELING
Provider Business Mailing Address
First Line : 8421 AUBURN BLVD STE 3
Second Line :
City : CITRUS HEIGHTS
State : CA
Zip : 95610-0391
Country : US
Telephone Number : 916-722-6100
Fax Number : 916-722-9229
Provider Business Practice Location Address
First Line : 8421 AUBURN BLVD STE 3
Second Line :
City : CITRUS HEIGHTS
State : CA
Zip : 95610-0391
Country : US
Telephone Number : 916-722-6100
Fax Number : 916-722-9229
Authorized Official
Title or Position : MHA-1
Name : ISABELLE OLLINGER
Credential :
Telephone Number : 916-722-6100
Provider Enumeration Date : 12/13/2006
Last Update Date : 03/30/2009

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Directions to “CROSS CREEK COUNSELING ” Practice Location

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