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Organization
ONCE UPON A TIME FAMILY THERAPY CENTER
Active
Organization
ONCE UPON A TIME FAMILY THERAPY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON S O'SHEA LMFT (CO-PRESIDENT)
(530) 263-8995
Entity
Organization
Contact information
Practice address
696 WHITING ST, GRASS VALLEY, CA 95945-7543
(530) 263-8995
Mailing address
PO BOX 2344, GRASS VALLEY, CA 95945-2344
(530) 264-6144
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
05/01/2019
Last updated
10/28/2019
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