Organization
CENTER FOR POST TRAUMATIC GROWTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELINDA JANE KEENAN LIC. PSYCHOLOGIST (CLINICAL DIRECTOR)
(720) 743-7673
Entity
Organization
Contact information
Practice address
11344 COLOMA RD STE 347, GOLD RIVER, CA 95670-4460
(916) 743-7673
Mailing address
5521 GRASSY RUN CT, PLACERVILLE, CA 95667-9739
(916) 743-7673
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Enumeration date
09/19/2018
Last updated
09/20/2018
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