Organization
MENDOCINO COUNTY YOUTH PROJECT
Active
Other names
Mendocino Family & Youth Services
Organization subpart
No
Provider details
NPI number
Authorized official
SERENA JONES LCSW (DIRECTOR OF CLINICAL PROGRAM)
(707) 463-4915
Entity
Organization
Contact information
Practice address
776 S STATE ST, #107, UKIAH, CA 95482
(707) 463-4915
(707) 463-4917
Mailing address
776 SOUTH STATE ST., #107, UKIAH, CA 95482
(707) 463-4915
(707) 463-4917
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2375
MEDI-CAL MENDOCINO CO
CA
Enumeration date
01/23/2007
Last updated
03/12/2014
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