| Alchemical Counseling Services Licensed Clinical Social Worker, Inc | |
|
100 E St Ste 320 Santa Rosa CA 95404-4607 | |
| (707) 800-5788 | |
| Not Available |
| Full Name | Alchemical Counseling Services Licensed Clinical Social Worker, Inc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 100 E St Ste 320, Santa Rosa, California |
| Authorized Official Name and Position | Eileen Evind (CEO, CFO, SECRETARY) |
| Authorized Official Contact | 7078005788 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alchemical Counseling Services Licensed Clinical Social Worker, Inc 100 E St Ste 320 Santa Rosa CA 95404-4607 Ph: (707) 800-5788 | Alchemical Counseling Services Licensed Clinical Social Worker, Inc 100 E St Ste 320 Santa Rosa CA 95404-4607 Ph: (707) 800-5788 |
| NPI Number | 1619768736 |
|---|---|
| Provider Enumeration Date | 05/16/2025 |
| Last Update Date | 05/16/2025 |
| Certification Date | 05/16/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619768736 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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