Grounded Roots Family Therapy Collective And Consulting, Inc. | |
6884 23rd St Sacramento CA 95822-4142 | |
(916) 764-8951 | |
Not Available |
Full Name | Grounded Roots Family Therapy Collective And Consulting, Inc. |
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Speciality | Marriage & Family Therapist |
Location | 6884 23rd St, Sacramento, California |
Authorized Official Name and Position | Chioko Juliette Grevious (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 9166399274 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Grounded Roots Family Therapy Collective And Consulting, Inc. Po Box 221336 Sacramento CA 95822-8336 Ph: (916) 639-9274 | Grounded Roots Family Therapy Collective And Consulting, Inc. 6884 23rd St Sacramento CA 95822-4142 Ph: (916) 764-8951 |
NPI Number | 1164206454 |
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Provider Enumeration Date | 08/21/2023 |
Last Update Date | 08/21/2023 |
Certification Date | 08/19/2023 |
Medicare PECOS PAC ID | 8921544230 |
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Medicare Enrollment ID | O20240723002945 |
Identifier | Type | State | Issuer |
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1164206454 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
Provider Name | Chioko Juliette Grevious |
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Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1215683677 PECOS PAC ID: 4385180694 Enrollment ID: I20240807001782 |
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