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Organization
RELATIONSHIP CENTER FOR CHANGE A
Active
Organization
RELATIONSHIP CENTER FOR CHANGE A
Active
Other names
Relationship Center For Change A Marriage and Family Therapy PC
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT BUTLER LCSW (VICE PRESIDENT)
(707) 523-8009
Entity
Organization
Contact information
Practice address
2455 BENNETT VALLEY RD STE C210, SANTA ROSA, CA 95404-5671
(707) 523-8009
Mailing address
40 4TH ST, #224, PETALUMA, CA 94952-3040
(707) 523-8009
(707) 766-0556
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
07/05/2013
Last updated
06/30/2023
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