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Organization
COMMUNITY COUNSELING ASSOCIATES
Active
Organization
COMMUNITY COUNSELING ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIM DAKIN LMFT (PRESIDENT)
(916) 764-6997
Entity
Organization
Contact information
Practice address
5150 SUNRISE BLVD, SUITE H-1, FAIR OAKS, CA 95628-4939
(916) 565-5015
Mailing address
5150 SUNRISE BLVD, SUITE H-1, FAIR OAKS, CA 95628-4939
(916) 965-5015
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LMFT21311
CA
Other
Enumeration date
11/09/2016
Last updated
04/25/2017
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