| Authentic Connections Psychotherapy, Inc. | |
|
10368 Donner Pass Rd Truckee CA 96161-0427 | |
| (530) 536-0663 | |
| Not Available |
| Full Name | Authentic Connections Psychotherapy, Inc. |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 10368 Donner Pass Rd, Truckee, California |
| Authorized Official Name and Position | Perrine Portillo (PRESIDENT) |
| Authorized Official Contact | 5305360663 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Authentic Connections Psychotherapy, Inc. 11260 Donner Pass Rd. Ste C1 Pmb 635 Truckee CA 96161 Ph: (530) 536-0663 | Authentic Connections Psychotherapy, Inc. 10368 Donner Pass Rd Truckee CA 96161-0427 Ph: (530) 536-0663 |
| NPI Number | 1255084745 |
|---|---|
| Provider Enumeration Date | 02/03/2022 |
| Last Update Date | 02/03/2022 |
| Certification Date | 02/03/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255084745 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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