| Counseling for Creative Change Inc | |
|
22640 Pine Lake Dr Colfax CA 95713-9041 | |
| (916) 595-8200 | |
| Not Available |
| Full Name | Counseling for Creative Change Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 22640 Pine Lake Dr, Colfax, California |
| Authorized Official Name and Position | Josh Singer (CEO) |
| Authorized Official Contact | 9165958200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Counseling for Creative Change Inc Po Box 263 Weimar CA 95736-0263 Ph: (916) 595-8200 | Counseling for Creative Change Inc 22640 Pine Lake Dr Colfax CA 95713-9041 Ph: (916) 595-8200 |
| NPI Number | 1417726134 |
|---|---|
| Provider Enumeration Date | 12/21/2023 |
| Last Update Date | 12/21/2023 |
| Certification Date | 12/21/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417726134 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | () | Primary |
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