Healthcare Provider Details

I. General information

NPI: 1659779759
Provider Name (Legal Business Name): HOPE NAPA COUNSELING SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/05/2014
Last Update Date: 12/05/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

833 FRANKLIN ST
NAPA CA
94559-2948
US

IV. Provider business mailing address

1123 CHANNING WAY
NAPA CA
94558-5459
US

V. Phone/Fax

Practice location:
  • Phone: 707-479-1158
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number241
License Number StateHI
# 2
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number1734
License Number StateCA

VIII. Authorized Official

Name: MONICA B STOKER
Title or Position: CLINICAL COUNSELOR
Credential: LPCC, LMHC
Phone: 707-479-1158