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Organization
GENUINE DBT LICENSED CLINICAL SOCIAL WORKER INC
Active
Organization
GENUINE DBT LICENSED CLINICAL SOCIAL WORKER INC
Active
Other names
Genuine DBT
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL COURTER LCSW (OWNER)
(530) 809-0066
Entity
Organization
Contact information
Practice address
1140 MANGROVE AVE STE D, CHICO, CA 95926
(530) 591-5915
Mailing address
1017 DOWNING AVE, CHICO, CA 95926-2823
(530) 591-5915
(888) 977-2133
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
PSY26985
CA
1041C0700X
Clinical Social Worker
Primary
LCSW61303
CA
106H00000X
Marriage & Family Therapist
87407
CA
Other
Enumeration date
05/20/2015
Last updated
11/03/2018
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