Valley Clinical & Consulting Services

NPI 1154332419 - Psychologist - 103TC0700X

NPI Details
NPI 1154332419
Enumeration Date 08/11/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name JACK JACK
Position OWNER
Phone (530) 661-1666
Fax (530) 661-1248
Practice Location
413 LINCOLN AVE
WOODLAND CA, 95695-3926, US
Phone (530) 661-1666
Fax (530) 661-1248
Business Location
413 LINCOLN AVE
WOODLAND CA, 95695-3926, US
Phone (530) 661-1666
Fax (530) 661-1248
Toxanomy
Taxonomy Code 103TC0700X
License State California
License Number PSY08259
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According to our database, Valley Clinical & Consulting Services NPI is 1154332419, taxonomy code is 103TC0700X and license number is PSY08259, license state is located at California. Valley Clinical & Consulting Services physically located at 413 Lincoln Ave, Woodland CA, 95695-3926. NPI Number 1033115704 has the healthcare provider type.

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1154332419 NPI number is provided on an as is basis without warranty of any kind. 1154332419 is maintained by the National Plan & Provider Enumeration System. The contents of Valley Clinical & Consulting Services are for informational purposes only.