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Organization

EL DORADO COUNTY

Active
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Organization

EL DORADO COUNTY

Active
Other names
El Dorado County Mental Health
Organization subpart
No

Provider details

NPI number
Authorized official
NICOLE EBRAHIMI-NUYKEN LMFT (BEHAVIORAL HEALTH DIRECTOR)
(530) 621-6545
Entity
Organization

Contact information

Practice address
768 PLEASANT VALLEY ROAD, SUITE 201, DIAMOND SPRINGS, CA 95619
(530) 621-6290
(530) 622-1293
Mailing address
768 PLEASANT VALLEY ROAD, SUITE 201, DIAMOND SPRINGS, CA 95619
(530) 621-6290
(530) 622-1293

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
CA

Other

Enumeration date
05/24/2007
Last updated
04/12/2023
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