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Organization
TERRA NOVA COUNSELING
Active
Organization
TERRA NOVA COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN G. HOWARD (EXECUTIVE DIRECTOR)
(916) 344-0249
Entity
Organization
Contact information
Practice address
7844 MADISON AVE STE 152, FAIR OAKS, CA 95628-3540
(916) 344-0249
(916) 344-0739
Mailing address
7844 MADISON AVE STE 152, FAIR OAKS, CA 95628-3540
(916) 344-0249
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000008462
MEDI-CAL PROVIDER #
CA
Enumeration date
08/31/2006
Last updated
07/21/2022
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