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Organization
FAMILY LIFE FOUNDATION, INC.
Active
Organization
FAMILY LIFE FOUNDATION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JESSYE BARSTOW MBA (ADMINISTRATOR)
(530) 893-4245
Entity
Organization
Contact information
Practice address
130 YELLOWSTONE DR STE 110, CHICO, CA 95973-5884
(530) 893-4245
Mailing address
130 YELLOWSTONE DR STE 110, CHICO, CA 95973-5884
(530) 893-4245
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/29/2022
Last updated
06/29/2022
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