# NORTHERN CALIFORNIA ABUSE TREATMENT

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770753055
- **Authorized official:** KATHY JEAN ELLIS LMFT (CLINICAL DIRECTOR)
- **Authorized official phone:** (530) 477-7016

## Contact information

- **Practice address:** 2059 NEVADA CITY HWY STE 104, GRASS VALLEY, CA 95945-7708
- **Practice address phone:** (530) 477-7016
- **Practice address fax:** (530) 477-5919
- **Mailing address:** 2036 NEVADA CITY HWY \# 237, GRASS VALLEY, CA 95945-7700
- **Mailing address phone:** (530) 477-7016
- **Mailing address fax:** (530) 477-5919

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | IMF 49385 | CA | — |
| 106H00000X | Marriage & Family Therapist | MFC 22869 | CA | Yes |
| 106H00000X | Marriage & Family Therapist | MFC 41740 | CA | — |
| 106H00000X | Marriage & Family Therapist | MFC 42832 | CA | — |

## Other

- **Enumeration date:** 03/03/2008
- **Last updated:** 03/03/2008