Individual
CARLOTTA LOUISE RED LEAF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
995 SPRUCE ST, GRIDLEY, CA 95948-2128
(530) 846-7305
Mailing address
995 SPRUCE ST, GRIDLEY, CA 95948-2128
(530) 846-7305
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
109654
CA
Other
Enumeration date
04/30/2025
Last updated
04/30/2025
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