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Organization

REDWOOD PSYCHALLIANCE

Active
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Organization

REDWOOD PSYCHALLIANCE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LORETTE MARIE LABATAILLE MD (OWNER/PRESIDENT)
(707) 568-1101
Entity
Organization

Contact information

Practice address
509 7TH ST STE 100, SANTA ROSA, CA 95401-5297
(707) 568-1101
(707) 568-1103
Mailing address
509 7TH ST STE 100, SANTA ROSA, CA 95401-5297
(707) 568-1101
(707) 568-1103

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
MFC25326
CA
2084P0800X
Psychiatry Physician
Primary
G24040
CA
2084P0804X
Child & Adolescent Psychiatry Physician
A33863
CA

Other

Enumeration date
05/31/2012
Last updated
01/08/2018
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