Organization
AMADOR-CALAVERAS COUNSELING SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABRAHAM CEREZO MS (GENERAL MANAGER)
(916) 205-0395
Entity
Organization
Contact information
Practice address
32 MAIN ST, SUTTER CREEK, CA 95685-4231
(916) 205-0395
Mailing address
PO BOX 636, SUTTER CREEK, CA 95685-0636
(916) 205-0395
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
57485
CA
Other
Enumeration date
10/13/2014
Last updated
10/13/2014
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