| Counseling Center Of Marriage And Family Therapy Corp | |
|
3330 Cameron Park Dr Ste 400 Cameron Park CA 95682-7652 | |
| (916) 581-0054 | |
| Not Available |
| Full Name | Counseling Center Of Marriage And Family Therapy Corp |
|---|---|
| Speciality | Counselor |
| Location | 3330 Cameron Park Dr Ste 400, Cameron Park, California |
| Authorized Official Name and Position | Kimberly Salmon (OWNER) |
| Authorized Official Contact | 9165810054 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Counseling Center Of Marriage And Family Therapy Corp 401b Vernon Street Roseville CA 95678 Ph: (916) 581-0054 | Counseling Center Of Marriage And Family Therapy Corp 3330 Cameron Park Dr Ste 400 Cameron Park CA 95682-7652 Ph: (916) 581-0054 |
| NPI Number | 1205339215 |
|---|---|
| Provider Enumeration Date | 03/15/2018 |
| Last Update Date | 02/26/2020 |
| Certification Date | 02/26/2020 |
| Medicare PECOS PAC ID | 1456704675 |
|---|---|
| Medicare Enrollment ID | O20240124001739 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205339215 | NPI | - | NPPES |
| 474351682 | Other | CA | TAX ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 53299 (California) | Primary |
| Provider Name | Kimberly Michelle Salmon |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1912223348 PECOS PAC ID: 1355794579 Enrollment ID: I20240124001803 |
| Provider Name | Cynthia Max-wright |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1518033901 PECOS PAC ID: 6709239593 Enrollment ID: I20240129001255 |
| Provider Name | Kathryn Mary Steenberg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366955296 PECOS PAC ID: 4082067343 Enrollment ID: I20240202001003 |
| Provider Name | Bannupriya Ramachandran |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013324383 PECOS PAC ID: 4981048824 Enrollment ID: I20240219001750 |
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