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Organization
FAMILY SERVICE OF THE TRI-CITIES
Active
Organization
FAMILY SERVICE OF THE TRI-CITIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
INGRID J THERIAULT (EXECUTIVE DIRECTOR)
(510) 791-3322
Entity
Organization
Contact information
Practice address
39899 BALENTINE DR, SUITE 212, NEWARK, CA 94560-5355
(510) 791-3322
(510) 791-3325
Mailing address
39899 BALENTINE DR, SUITE 212, NEWARK, CA 94560-5355
(510) 791-3322
(510) 791-3325
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
CA
Other
Enumeration date
12/18/2006
Last updated
10/01/2009
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