Organization
JEWISH FAMILY AND CHILDREN'S SERVICES
Active
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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