Organization
MIND & SPIRIT COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILL MATTESICH-UDOUTCH (PRESIDENT)
(925) 960-3552
Entity
Organization
Contact information
Practice address
90 MISSION DR STE 5, PLEASANTON, CA 94566-7655
(925) 960-3552
Mailing address
1138 FLORENCE RD, LIVERMORE, CA 94550-5545
(925) 960-3552
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/08/2020
Last updated
01/08/2020
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