# CLOVERDALE COUNSELING CENTER, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205390218
- **Authorized official:** CAROLYN GIBBS RANKIN LMFT (LICENSED MARRIAGE FAMILY THERAPIST)
- **Authorized official phone:** (707) 635-9504

## Contact information

- **Practice address:** 216 N CLOVERDALE BLVD, CLOVERDALE, CA 95425-3362
- **Practice address phone:** (707) 635-9504
- **Mailing address:** 1161 MOUNTAIN PINE RD, CLOVERDALE, CA 95425-4304

## Taxonomy

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

## Other

- **Enumeration date:** 01/23/2019
- **Last updated:** 01/23/2019