| Code 3 Mind Health, Inc. | |
|
1315 Cedar St Fort Bragg CA 95437-3906 | |
| (707) 841-7057 | |
| (844) 244-9422 |
| Full Name | Code 3 Mind Health, Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 1315 Cedar St, Fort Bragg, California |
| Authorized Official Name and Position | Kianna Zielesch (PSYCHOLOGIST/FOUNDER/PRESIDENT) |
| Authorized Official Contact | 7078417057 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Code 3 Mind Health, Inc. 1315 Cedar St Fort Bragg CA 95437-3906 Ph: (707) 841-7057 | Code 3 Mind Health, Inc. 1315 Cedar St Fort Bragg CA 95437-3906 Ph: (707) 841-7057 |
| NPI Number | 1083325914 |
|---|---|
| Provider Enumeration Date | 12/12/2022 |
| Last Update Date | 12/12/2022 |
| Certification Date | 12/12/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083325914 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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