| Shasta County | |
|
1620/1624 Market St Redding CA 96001-1021 | |
| (530) 245-6750 | |
| (530) 225-5950 |
| Full Name | Shasta County |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 1620/1624 Market St, Redding, California |
| Authorized Official Name and Position | Donnell Ewert (DIRECTOR OF MENTAL HEALTH) |
| Authorized Official Contact | 5302456750 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shasta County 2640 Breslauer Redding CA 96001-1021 Ph: (530) 245-6750 | Shasta County 1620/1624 Market St Redding CA 96001-1021 Ph: (530) 245-6750 |
| NPI Number | 1023395662 |
|---|---|
| Provider Enumeration Date | 11/10/2011 |
| Last Update Date | 07/21/2022 |
| Certification Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023395662 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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