Organization
JEWISH FAMILY AND CHILDREN'S SERVICES
Active
Other names
Parents Place
Organization subpart
No
Provider details
NPI number
Authorized official
LYNNE W. JOACHIM M.F.T. (CLINICAL COUNSELOR)
(707) 571-8131
Entity
Organization
Contact information
Practice address
1360 N DUTTON AVE, SUITE C, SANTA ROSA, CA 95401-4687
(707) 571-8131
(707) 571-8195
Mailing address
1360 N DUTTON AVE, SUITE C, SANTA ROSA, CA 95401-4687
(707) 571-8131
(707) 571-8195
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MFC24484
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MFC 24484
LICENSE MFT
CA
Enumeration date
12/21/2006
Last updated
08/22/2020
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