Organization
CALIFORNIA MENTAL HEALTH COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHLEEN MCVICKER (CEO)
(530) 273-1112
Entity
Organization
Contact information
Practice address
120 N AUBURN ST STE 212, GRASS VALLEY, CA 95945-6277
(530) 273-1112
(530) 273-1112
Mailing address
13810 CLIMBING WAY, NEVADA CITY, CA 95959-9649
(530) 273-1112
(530) 273-1112
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1467720474
—
CA
Enumeration date
02/21/2018
Last updated
02/21/2018
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