# PALO VERDE THERAPY, INC.

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

## Provider details

- **NPI number:** 1861548612
- **Authorized official:** MRS. PAMELA GASTON SHORE MFT (CLINICIAN/OWNER/PRESIDENT)
- **Authorized official phone:** (530) 905-2319

## Contact information

- **Practice address:** 160 CHERRY AVE., AUBURN, CA 95603
- **Practice address phone:** (530) 906-2319
- **Mailing address:** 160 CHERRY AVE., AUBURN, CA 95603
- **Mailing address phone:** (530) 906-2319

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 00847-L | NV | — |
| 106H00000X | Marriage & Family Therapist | 0901 | NV | Yes |

## Other

- **Enumeration date:** 01/26/2007
- **Last updated:** 06/20/2018