| Cultivation Liberation Family Counseling And Psychotherapy Inc. | |
|
7808 Stefenoni Ct Unit B Sebastopol CA 95472-3535 | |
| (707) 666-5170 | |
| Not Available |
| Full Name | Cultivation Liberation Family Counseling And Psychotherapy Inc. |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 7808 Stefenoni Ct Unit B, Sebastopol, California |
| Authorized Official Name and Position | Joy Jaco (CEO) |
| Authorized Official Contact | 7076665170 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cultivation Liberation Family Counseling And Psychotherapy Inc. Po Box 910 Sebastopol CA 95473-0910 Ph: (707) 666-5170 | Cultivation Liberation Family Counseling And Psychotherapy Inc. 7808 Stefenoni Ct Unit B Sebastopol CA 95472-3535 Ph: (707) 666-5170 |
| NPI Number | 1194571711 |
|---|---|
| Provider Enumeration Date | 04/25/2024 |
| Last Update Date | 03/11/2025 |
| Certification Date | 03/11/2025 |
| Medicare PECOS PAC ID | 5294270930 |
|---|---|
| Medicare Enrollment ID | O20240717002576 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194571711 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Provider Name | Joy Diane Jaco |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1811506678 PECOS PAC ID: 7911442652 Enrollment ID: I20240717002747 |
Bay Area Center For Psychotherapy Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 105 Morris St Ste 180, Sebastopol, CA 95472 Phone: 707-861-0658 | |
Kitty Chelton Mft Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7765 Healdsburg Ave Ste 12, Sebastopol, CA 95472 Phone: 707-823-8203 | |
Tlc Child & Family Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1800 Gravenstein Hwy N Bldg Ef, Sebastopol, CA 95472 Phone: 707-634-9050 | |
Raquel Wells, A Licensed Clinical Social Worker Corporation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 Pleasant Hill Ave N Ste 200q, Sebastopol, CA 95472 Phone: 415-294-0032 | |
Charles N Harris Phd A Psychological Corp Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4815 Thomas Rd, Sebastopol, CA 95472 Phone: 707-829-5170 | |
Shannon Coon Bsn Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1474 Bloomfield Rd, Sebastopol, CA 95472 Phone: 707-823-0848 |