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Organization
ONE EIGHTY PROGRAMS
Active
Organization
ONE EIGHTY PROGRAMS
Active
Other names
One Eighty Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE HARPER (OFFICE ADMINISTRATOR)
(209) 339-1616
Entity
Organization
Contact information
Practice address
405 W PINE ST, LODI, CA 95240-2023
(209) 339-1616
Mailing address
17 W LOCKEFORD ST, LODI, CA 95240-2125
(209) 339-1616
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
NULL
101YP2500X
Professional Counselor
—
—
104100000X
Social Worker
—
NULL
104100000X
Social Worker
—
—
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
06/23/2023
Last updated
06/23/2023
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