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NPI Code Detail

MEDICARE: STONEBRIDGE COUNSELING INC

MEDICARE: STONEBRIDGE COUNSELING INC
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
2106H00000XMarriage & Family Therapist

General Provider Information

NPI Number : 1487316782
Entity Type Code : Organization
Provider Name (Legal Business Name) : STONEBRIDGE COUNSELING INC
Provider Business Mailing Address
First Line : 1359 E LASSEN AVE
Second Line :
City : CHICO
State : CA
Zip : 95973-7824
Country : US
Telephone Number : 310-210-8147
Fax Number : 530-466-3154
Provider Business Practice Location Address
First Line : 1359 E LASSEN AVE
Second Line :
City : CHICO
State : CA
Zip : 95973-7824
Country : US
Telephone Number : 310-210-8147
Fax Number : 530-466-3154
Authorized Official
Title or Position : OWNER
Name : DANIA MELINA HENG
Credential : LMFT
Telephone Number : 310-210-8147
Provider Enumeration Date : 10/13/2021
Last Update Date : 05/01/2025

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Directions to “STONEBRIDGE COUNSELING INC ” Practice Location

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