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Organization
ROCKLIN COMMUNITY COUNSELING CENTER
Active
Organization
ROCKLIN COMMUNITY COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN W O'SULLIVAN (EXECUTIVE DIRECTOR)
(916) 315-0468
Entity
Organization
Contact information
Practice address
4240 ROCKLIN RD STE 5, SUITE 5, ROCKLIN, CA 95677-2862
(916) 315-0468
(916) 315-0462
Mailing address
4240 ROCKLIN RD, SUITE 5, ROCKLIN, CA 95677-2862
(916) 315-0468
(916) 315-0462
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
310009DN
CA
Other
Enumeration date
05/23/2007
Last updated
08/22/2020
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