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Organization
SIERRA STONEGATE
Active
Organization
SIERRA STONEGATE
Active
Other names
healthy interventions
Organization subpart
No
Provider details
NPI number
Authorized official
SAM VINEY MA, MFT (THERAPIST)
(916) 475-8590
Entity
Organization
Contact information
Practice address
3657 GOLDENSTAR ST, PLUMAS LAKE, CA 95961-8746
(916) 475-9586
Mailing address
3657 GOLDENSTAR ST, PLUMAS LAKE, CA 95961-8746
(916) 475-9586
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
57436
CA
101YM0800X
Mental Health Counselor
Primary
57436
CA
Other
Enumeration date
06/29/2012
Last updated
06/29/2012
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