Organization
SOLID GROUND COUNSELING AND THERAPY SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT D. ALTAMIRANO LMFT (COUNSELOR/THERAPIST)
(512) 576-9772
Entity
Organization
Contact information
Practice address
1120 W CHURCH ST, UKIAH, CA 95482-4603
(512) 576-9772
Mailing address
1120 W CHURCH ST, UKIAH, CA 95482-4603
(125) 576-9772
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
09/10/2018
Last updated
09/10/2018
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