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NPI Code Detail

MEDICARE: CALIFORNIA MENTAL HEALTH

MEDICARE: CALIFORNIA MENTAL HEALTH
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
1106H00000XMarriage & Family Therapist14302CA

General Provider Information

NPI Number : 1326437922
Entity Type Code : Organization
Provider Name (Legal Business Name) : CALIFORNIA MENTAL HEALTH
Provider Business Mailing Address
First Line : 13810 CLIMBING WAY
Second Line :
City : NEVADA CITY
State : CA
Zip : 95959-9649
Country : US
Telephone Number : 530-273-1112
Fax Number : 530-273-1112
Provider Business Practice Location Address
First Line : 6809 INDIANA AVE
Second Line : SUITE 140
City : RIVERSIDE
State : CA
Zip : 92506-4221
Country : US
Telephone Number : 530-273-1112
Fax Number : 530-273-1112
Authorized Official
Title or Position : OWNER
Name : KATHLEEN MCVICKER
Credential :
Telephone Number : 530-273-1112
Provider Enumeration Date : 01/20/2015
Last Update Date : 01/20/2015

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Directions to “CALIFORNIA MENTAL HEALTH ” Practice Location

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