| Freedom Family Counseling Group Corp. | |
|
190 S Orchard Ave Ste C230 Vacaville CA 95688-3657 | |
| (707) 634-4863 | |
| Not Available |
| Full Name | Freedom Family Counseling Group Corp. |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 190 S Orchard Ave Ste C230, Vacaville, California |
| Authorized Official Name and Position | Kevin Richard Anderson (PRESIDENT) |
| Authorized Official Contact | 7073101681 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Freedom Family Counseling Group Corp. 5063 Maple Rd Vacaville CA 95687-9468 Ph: (707) 310-1681 | Freedom Family Counseling Group Corp. 190 S Orchard Ave Ste C230 Vacaville CA 95688-3657 Ph: (707) 634-4863 |
| NPI Number | 1417566605 |
|---|---|
| Provider Enumeration Date | 07/23/2020 |
| Last Update Date | 07/23/2020 |
| Certification Date | 07/23/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417566605 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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