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Organization
NOR CAL TRAUMA HEALING CENTER
Active
Organization
NOR CAL TRAUMA HEALING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR URREGO-VALLOWE LCSW CCSP-ADHD (CHIEF FINANCIAL OFFICER)
(279) 202-8113
Entity
Organization
Contact information
Practice address
5740 WINDMILL WAY STE 8, CARMICHAEL, CA 95608-1379
(279) 202-8113
(916) 251-1148
Mailing address
5740 WINDMILL WAY STE 8, CARMICHAEL, CA 95608-1379
(279) 202-8113
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100192313
—
CA
Enumeration date
09/28/2020
Last updated
03/18/2022
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