# CULTIVATION LIBERATION FAMILY COUNSELING AND PSYCHOTHERAPY INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194571711
- **Authorized official:** JOY JACO LMFT (CEO)
- **Authorized official phone:** (707) 666-5170

## Contact information

- **Practice address:** 7808 STEFENONI CT UNIT B, SEBASTOPOL, CA 95472-3535
- **Practice address phone:** (707) 666-5170
- **Mailing address:** PO BOX 910, SEBASTOPOL, CA 95473-0910
- **Mailing address phone:** (707) 666-5170

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 04/25/2024
- **Last updated:** 03/11/2025