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Organization
PACIFIC COUNSELING AND TRAUMA CENTER
Active
Organization
PACIFIC COUNSELING AND TRAUMA CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA LARSON MFCC (OWNER)
(916) 712-0226
Entity
Organization
Contact information
Practice address
706 NATOMA ST, FOLSOM, CA 95630-3074
(916) 608-4569
Mailing address
706 NATOMA ST, FOLSOM, CA 95630-3074
(916) 608-4569
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
37375
CA
Other
Enumeration date
02/25/2015
Last updated
02/25/2015
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