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NPI Code Detail

MEDICARE: COUNTY OF BUTTE

MEDICARE: COUNTY OF BUTTE
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
1261QM0850XAdult Mental Health Clinic/Center
2261QM0855XAdolescent and Children Mental Health Clinic/Center
3251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1861552853
Entity Type Code : Organization
Provider Name (Legal Business Name) : COUNTY OF BUTTE
Provider Business Mailing Address
First Line : 3217 COHASSET RD
Second Line :
City : CHICO
State : CA
Zip : 95973-5404
Country : US
Telephone Number : 530-891-2980
Fax Number : 530-895-6548
Provider Business Practice Location Address
First Line : 560 COHASSET RD STE 100
Second Line :
City : CHICO
State : CA
Zip : 95926-2490
Country : US
Telephone Number : 530-891-2810
Fax Number : 530-879-3325
Authorized Official
Title or Position : DIRECTOR
Name : SCOTT KENNELLY
Credential : LCSW
Telephone Number : 530-891-2850
Provider Enumeration Date : 12/11/2006
Last Update Date : 05/16/2024

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Directions to “COUNTY OF BUTTE ” Practice Location

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