| Soulful Somatics Licensed Clinical Social Worker Pc | |
|
4 Governors Ln Ste C Chico CA 95926-5514 | |
| (530) 531-3459 | |
| (844) 525-7544 |
| Full Name | Soulful Somatics Licensed Clinical Social Worker Pc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 4 Governors Ln Ste C, Chico, California |
| Authorized Official Name and Position | Krisrin Brooke Free (CEO/OWNER) |
| Authorized Official Contact | 5303540455 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Soulful Somatics Licensed Clinical Social Worker Pc 4 Governors Ln Ste C Chico CA 95926-5514 Ph: (530) 531-3459 | Soulful Somatics Licensed Clinical Social Worker Pc 4 Governors Ln Ste C Chico CA 95926-5514 Ph: (530) 531-3459 |
| NPI Number | 1164135604 |
|---|---|
| Provider Enumeration Date | 12/29/2022 |
| Last Update Date | 12/29/2022 |
| Certification Date | 12/29/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164135604 | NPI | - | NPPES |
| 592984 | Medicaid | CA |
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