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NPI Code Detail

MEDICARE: STILL WATERS COUNSELING

MEDICARE: STILL WATERS 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
11041C0700XClinical Social Worker

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11285969436OTHERCABOARD OF BEHAVIORAL SERVICES

General Provider Information

NPI Number : 1104335470
Entity Type Code : Organization
Provider Name (Legal Business Name) : STILL WATERS COUNSELING
Provider Business Mailing Address
First Line : 427 F ST STE 205
Second Line :
City : EUREKA
State : CA
Zip : 95501-1040
Country : US
Telephone Number : 707-834-5408
Fax Number : 707-443-4519
Provider Business Practice Location Address
First Line : 2910 HARRIS ST
Second Line :
City : EUREKA
State : CA
Zip : 95503-4811
Country : US
Telephone Number : 707-834-5408
Fax Number : 707-443-4519
Authorized Official
Title or Position : OWNER/OPERATOR
Name : PATRICIA ANNE BLODGETT
Credential : LCSW
Telephone Number : 707-834-5408
Provider Enumeration Date : 09/29/2017
Last Update Date : 03/27/2023

Similar Medicare Providers

1164427472 — MS. CYNTHIA L CROWLEY-HARDI LCSW
Practice Location Address:
2910 HARRIS ST
EUREKA, CA
95503-4811
Practice Phone: 707-269-0844
Practice Fax: 707-268-0662
1992010193 — MR. TREY J POLESKY LCSW
Practice Location Address:
2910 HARRIS ST
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1699102111 — SARAH CATHERINE HAAG PHD
Practice Location Address:
2910 HARRIS ST
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Practice Phone: 707-672-2206
Practice Fax: 707-268-0662
1184048126 — MRS. JONI KAYE MAHER LCSW
Practice Location Address:
2910 HARRIS ST
EUREKA, CA
95503-4811
Practice Phone: 707-443-3384
Practice Fax: 707-443-3204
1154867299 — DIANE TREVOLEDES DAVIS CMT
Practice Location Address:
2910 HARRIS ST
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95503-4811
Practice Phone: 707-972-0522
Practice Fax:
1700817038 — DR. JOHN MICHAEL BAIR D.C.
Practice Location Address:
4811 EUREKA AVE STE A
YORBA LINDA, CA
92886-3368
Practice Phone: 714-579-3900
Practice Fax: 714-579-3901

Directions to “STILL WATERS COUNSELING ” Practice Location

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