| Bhfcec | |
|
2055 Anderson Rd # 5 Davis CA 95616-0672 | |
| (530) 758-7163 | |
| (530) 758-1021 |
| Full Name | Bhfcec |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 2055 Anderson Rd, Davis, California |
| Authorized Official Name and Position | Teri Anne Drake (MARRIAGE FAMILY THERAPIST) |
| Authorized Official Contact | 5307587163 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bhfcec 3415 Breton Ave Davis CA 95616-2709 Ph: (530) 758-1021 | Bhfcec 2055 Anderson Rd # 5 Davis CA 95616-0672 Ph: (530) 758-7163 |
| NPI Number | 1952331134 |
|---|---|
| Provider Enumeration Date | 07/04/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952331134 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | MFC31131 (California) | Primary |
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