Individual
MS. CAROL TITTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
6765 GREEN VALLEY RD, PLACERVILLE, CA 95667-8984
(530) 622-5551
(530) 622-5800
Mailing address
9112 MADISON GREENS LANE, #21, ORANGEVALE, CA 95662
(916) 207-4762
(916) 608-9284
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
55040
CA
Other
Enumeration date
12/24/2007
Last updated
09/04/2012
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