# AMADOR-CALAVERAS COUNSELING SERVICE

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

## Provider details

- **NPI number:** 1811391303
- **Authorized official:** ABRAHAM CEREZO MS (GENERAL MANAGER)
- **Authorized official phone:** (916) 205-0395

## Contact information

- **Practice address:** 32 MAIN ST, SUTTER CREEK, CA 95685-4231
- **Practice address phone:** (916) 205-0395
- **Mailing address:** PO BOX 636, SUTTER CREEK, CA 95685-0636
- **Mailing address phone:** (916) 205-0395

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | 57485 | CA | Yes |

## Other

- **Enumeration date:** 10/13/2014
- **Last updated:** 10/13/2014