MEDICARE: THE CENTER FOR VIOLENCE-FREE RELATIONSHIPS

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	1041C0700X	Clinical Social Worker
2	251S00000X	Community/Behavioral Health Agency
3	103TC1900X	Counseling Psychologist
4	104100000X	Social Worker
5	101YM0800X	Mental Health Counselor
6	103T00000X	Psychologist
7	101Y00000X	Counselor
8	251X00000X	Supports Brokerage Agency
9	103TC0700X	Clinical Psychologist
10	106H00000X	Marriage & Family Therapist
11	385H00000X	Respite Care
12	101YP2500X	Professional Counselor
13	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1316751100
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE CENTER FOR VIOLENCE-FREE RELATIONSHIPS

Provider Business Mailing Address
First Line	:	344 PLACERVILLE DR STE 11
Second Line	:
City	:	PLACERVILLE
State	:	CA
Zip	:	95667-3971
Country	:	US
Telephone Number	:	530-626-1450
Fax Number	:	530-626-6895

Provider Business Practice Location Address
First Line	:	344 PLACERVILLE DR STE 11
Second Line	:
City	:	PLACERVILLE
State	:	CA
Zip	:	95667-3971
Country	:	US
Telephone Number	:	530-626-1450
Fax Number	:	530-626-6895

Authorized Official
Title or Position	:	CHIEF OPERATING OFFICER
Name	:	JOSELITO ABUEG
Credential	:
Telephone Number	:	530-295-4202

Provider Enumeration Date	:	02/03/2025
Last Update Date	:	05/27/2026

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Directions to “THE CENTER FOR VIOLENCE-FREE RELATIONSHIPS ” Practice Location

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