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Organization
MOTHERLODE COUNSELING
Active
Organization
MOTHERLODE COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TESSA JACQUES LMFT (DIRECTOR)
(916) 415-8456
Entity
Organization
Contact information
Practice address
701 HIGH ST STE 205, AUBURN, CA 95603-4734
(916) 415-8456
Mailing address
701 HIGH ST STE 205, AUBURN, CA 95603-4734
(916) 415-8456
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
01/26/2022
Last updated
01/26/2022
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