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Organization
CALIFORNIA MENTAL HEALTH
Active
Organization
CALIFORNIA MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN MCVICKER (OWNER)
(530) 273-1112
Entity
Organization
Contact information
Practice address
4995 GOLDEN FOOTHILL PKWY, SUITE 2, EL DORADO HILLS, CA 95762-9645
(530) 273-1112
(530) 273-1112
Mailing address
13810 CLIMBING WAY, NEVADA CITY, CA 95959-9649
(530) 273-1112
(530) 273-1112
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
14302
CA
Other
Enumeration date
01/14/2015
Last updated
01/14/2015
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