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Organization
QUEER HUMBOLDT
Active
Organization
QUEER HUMBOLDT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TATIANA MCDERMOND (BUSINESS MANAGER)
(910) 541-3646
Entity
Organization
Contact information
Practice address
1676 I ST, ARCATA, CA 95521-5530
(910) 541-3646
Mailing address
PO BOX 45, ARCATA, CA 95518-0045
(707) 502-2890
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
12/26/2023
Last updated
12/26/2023
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