Organization
COUNTY OF MENDOCINO
Active
Organization
COUNTY OF MENDOCINO
Active
Other names
Substance Use Disorders Treatment
Organization subpart
No
Provider details
NPI number
Authorized official
JENINE MILLER PSY.D. (DIRECTOR)
(707) 472-2637
Entity
Organization
Contact information
Practice address
125 E COMMERCIAL ST STE 200, WILLITS, CA 95490-3147
(707) 472-2637
(707) 472-2657
Mailing address
1120 S DORA ST, UKIAH, CA 95482-6340
(707) 472-2637
(707) 472-2657
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OTHER
OTHER
CA
Enumeration date
03/11/2014
Last updated
04/14/2025
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