Organization
CONTRA COSTA COUNTY HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JON ERIC STENSON PH.D. (PROGARM SUPERVISOR)
(510) 374-7159
Entity
Organization
Contact information
Practice address
303 41ST ST, RICHMOND, CA 94805-2221
(510) 374-7159
(510) 374-3857
Mailing address
303 41ST ST, RICHMOND, CA 94805-2221
(510) 374-7159
(510) 374-3857
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
16497
CA
Other
Enumeration date
01/18/2007
Last updated
08/08/2008
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