Foster Parent Therapy | |
490 Chadbourne Rd Ste A122 Fairfield CA 94534-1864 | |
(209) 507-2547 | |
Not Available |
Full Name | Foster Parent Therapy |
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Speciality | Social Worker - Clinical |
Location | 490 Chadbourne Rd Ste A122, Fairfield, California |
Authorized Official Name and Position | Chelsea A Mcgowan (LICENSED CLINICAL SOCIAL WORKER) |
Authorized Official Contact | 2095072547 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Foster Parent Therapy 490 Chadbourne Rd Ste A122 Fairfield CA 94534-1864 Ph: (209) 507-2547 | Foster Parent Therapy 490 Chadbourne Rd Ste A122 Fairfield CA 94534-1864 Ph: (209) 507-2547 |
NPI Number | 1881451367 |
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Provider Enumeration Date | 03/01/2024 |
Last Update Date | 03/01/2024 |
Certification Date | 03/01/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1881451367 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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