Organization
COVENANT COUNSELING CENTER
Active
Other names
six rivers counseling
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN W TILLERY CPA (EXECUTIVE DIRECTOR)
(530) 245-5805
Entity
Organization
Contact information
Practice address
3960 WALNUT DRIVE, EUREKA, CA 95503
(707) 268-8722
(707) 268-0218
Mailing address
393 PARK MARINA CIRCLE, REDDING, CA 96001
(530) 245-5805
(530) 245-0340
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
125001555
CA
Other
Enumeration date
02/13/2008
Last updated
02/13/2008
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