| Hope Counseling Services | |
|
941 B Street Petaluma CA 94952 | |
| (707) 763-9484 | |
| (707) 763-8127 |
| Full Name | Hope Counseling Services |
|---|---|
| Speciality | Psychologist |
| Location | 941 B Street, Petaluma, California |
| Authorized Official Name and Position | Diane Elizabeth Richards-olson (DIRECTOR) |
| Authorized Official Contact | 7077639484 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hope Counseling Services Po Box 453 Petaluma CA 94953 Ph: (707) 763-9484 | Hope Counseling Services 941 B Street Petaluma CA 94952 Ph: (707) 763-9484 |
| NPI Number | 1558473538 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 06/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558473538 | NPI | - | NPPES |
| WIMFT02939012 | Other | BLUE CROSS BLUE SHIELD | |
| ZZZ91211Z | Other | CA | BLUE CROSS |
| MFT04900P | Other | CA | BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | MFC2939 (California) | Primary |
| 103T00000X | Psychologist | MFC31829 (California) | Secondary |
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