| Kindred Heart Therapy Group | |
|
208 Providence Mine Rd Ste 122 Nevada City CA 95959-2955 | |
| (530) 277-2046 | |
| (916) 969-8373 |
| Full Name | Kindred Heart Therapy Group |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 208 Providence Mine Rd Ste 122, Nevada City, California |
| Authorized Official Name and Position | Lovie Bucknell (CEO/FOUNDER) |
| Authorized Official Contact | 5302772046 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kindred Heart Therapy Group Po Box 2336 Nevada City CA 95959-1946 Ph: (530) 277-2046 | Kindred Heart Therapy Group 208 Providence Mine Rd Ste 122 Nevada City CA 95959-2955 Ph: (530) 277-2046 |
| NPI Number | 1720689565 |
|---|---|
| Provider Enumeration Date | 11/06/2020 |
| Last Update Date | 03/22/2023 |
| Certification Date | 03/22/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720689565 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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