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Organization

REDWOOD PSYCHOLOGY CENTER, INC.

Active
Other names
Russian River Counselors
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ANTONIO MADRID PHD (EXECUTIVE DIRECTOR)
(707) 865-1200
Entity
Organization

Contact information

Practice address
709 DAVIS ST, SANTA ROSA, CA 95401-4767
(707) 525-9223
Mailing address
PO BOX 519, MONTE RIO, CA 95462-0519
(707) 865-1200
(707) 865-3151

Taxonomy

Speciality
Code
Description
License number
State
103TP2701X
Group Psychotherapy Psychologist
Primary
110000330
CA

Other

Enumeration date
05/29/2013
Last updated
05/29/2013
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