Healthcare Provider Details

I. General information

NPI: 1598423287
Provider Name (Legal Business Name): MENTAL HEALTH AND RECOVERY COUNSELING EDUCATION AND TRAINING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/30/2021
Last Update Date: 11/30/2021
Certification Date: 11/30/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 TOWN SQUARE RD # 352
COPPEROPOLIS CA
95228-9289
US

IV. Provider business mailing address

PO BOX 352
COPPEROPOLIS CA
95228-0352
US

V. Phone/Fax

Practice location:
  • Phone: 833-464-7238
  • Fax: 833-564-7238
Mailing address:
  • Phone: 833-464-7238
  • Fax: 833-564-7238

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: DEVON TOONEN
Title or Position: PRESIDENT & CEO
Credential:
Phone: 916-273-9900