Organization
MENDOCINO COUNTY MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMMA M JEANPIERRE MPH (CLINICAL SERVICES ASSOCIATE)
(707) 463-3368
Entity
Organization
Contact information
Practice address
580 WASHO DR, UKIAH, CA 95482-5154
(707) 468-9109
Mailing address
580 WASHO DR, UKIAH, CA 95482-5154
(707) 468-9109
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
082942
BIRTHDATE
CA
Enumeration date
05/16/2007
Last updated
08/22/2020
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