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Organization
CWC MARRIAGE AND FAMILY THERAPY CORPORATION
Active
Organization
CWC MARRIAGE AND FAMILY THERAPY CORPORATION
Active
Other names
Counseling with Courtney
Organization subpart
No
Provider details
NPI number
Authorized official
COURTNEY MICKLES MA, LMFT (CEO)
(720) 272-7848
Entity
Organization
Contact information
Practice address
2200-B DOUGLAS BLVD., SUITE 140, ROSEVILLE, CA 95661
(916) 299-7271
Mailing address
PO BOX 2711, GRANITE BAY, CA 95746
(720) 272-7848
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
06/26/2023
Last updated
06/29/2023
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