Organization
COUNSELING SERVICES OF MARIPOSA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT DALE BURTCH LCSW (OWNER)
(209) 966-7035
Entity
Organization
Contact information
Practice address
5078 BULLION ST., MARIPOSA, CA 95338
(209) 966-7035
Mailing address
5072 ALLRED RD, MARIPOSA, CA 95338-9705
(209) 966-7035
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LCS29794
CA
Other
Enumeration date
10/25/2013
Last updated
03/15/2014
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