# NORTH STATE FAMILY COUNSELING CENTER INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Avida Counseling Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194446773
- **Authorized official:** MRS. RAECHEL LYNNE CALLEJO LMFT (CEO)
- **Authorized official phone:** (530) 378-4855

## Contact information

- **Practice address:** 2628 VICTOR AVE STE A2, REDDING, CA 96002-1454
- **Practice address phone:** (530) 378-4855
- **Mailing address:** 2628 VICTOR AVE STE A2, REDDING, CA 96002-1454
- **Mailing address phone:** (530) 450-2673
- **Mailing address fax:** (530) 237-0408

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YP2500X | Professional Counselor | — | NULL | — |
| 101YP2500X | Professional Counselor | — | — | — |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 09/12/2022
- **Last updated:** 11/04/2025
