| Bridging Connections Family Counseling Inc | |
|
419 Elizabeth St Ste 4 Vacaville CA 95688-4602 | |
| (707) 761-1153 | |
| (707) 334-2155 |
| Full Name | Bridging Connections Family Counseling Inc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 419 Elizabeth St Ste 4, Vacaville, California |
| Authorized Official Name and Position | Carol S Andrews (OWNER) |
| Authorized Official Contact | 7077611153 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bridging Connections Family Counseling Inc 172 Silver Eagle Way Vacaville CA 95688-1012 Ph: (707) 761-1153 | Bridging Connections Family Counseling Inc 419 Elizabeth St Ste 4 Vacaville CA 95688-4602 Ph: (707) 761-1153 |
| NPI Number | 1861026163 |
|---|---|
| Provider Enumeration Date | 02/25/2020 |
| Last Update Date | 11/29/2023 |
| Certification Date | 11/29/2023 |
| Medicare PECOS PAC ID | 1456795285 |
|---|---|
| Medicare Enrollment ID | O20240220001740 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861026163 | NPI | - | NPPES |
| 8845242 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Provider Name | Carol Susan Andrews |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1376995308 PECOS PAC ID: 2365886199 Enrollment ID: I20240220001851 |
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