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Organization
NUMINOUS PSYCHOTHERAPY INC
Active
Organization
NUMINOUS PSYCHOTHERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY TAGGART KRUEGER (OFFICE COORDINATOR)
(209) 227-4914
Entity
Organization
Contact information
Practice address
27000 N HIGHWAY 1, FORT BRAGG, CA 95437-8900
(530) 310-7818
Mailing address
326 I ST UNIT 108, EUREKA, CA 95501-0522
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
—
—
103T00000X
Psychologist
—
—
103TA0700X
Adult Development & Aging Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
103TC1900X
Counseling Psychologist
—
—
103TH0004X
Health Psychologist
—
—
103TP0814X
Psychoanalysis Psychologist
—
—
Other
Enumeration date
06/21/2025
Last updated
07/03/2025
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