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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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