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Organization
VINCO VENTURES
Active
Organization
VINCO VENTURES
Active
Other names
Ivy Creek Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
RAYMOND RICHARD (CFO)
(925) 830-7900
Entity
Organization
Contact information
Practice address
1870 OLYMPIC BLVD STE 125, WALNUT CREEK, CA 94596-5000
(925) 830-7900
Mailing address
1870 OLYMPIC BLVD STE 125, WALNUT CREEK, CA 94596-5000
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/06/2025
Last updated
09/04/2026
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