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Organization
CLOVERDALE COUNSELING CENTER, INC.
Active
Organization
CLOVERDALE COUNSELING CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN GIBBS RANKIN LMFT (LICENSED MARRIAGE FAMILY THERAPIST)
(707) 635-9504
Entity
Organization
Contact information
Practice address
216 N CLOVERDALE BLVD, CLOVERDALE, CA 95425-3362
(707) 635-9504
Mailing address
1161 MOUNTAIN PINE RD, CLOVERDALE, CA 95425-4304
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
01/23/2019
Last updated
01/23/2019
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