Contra Costa County Health Services
Psychologist, Clinical in Richmond, CA. Organization (NPI-2).
NPI number1164575940
StatusActive
Last updated in NPPESAug 8, 2008
Details
- NPI
- 1164575940
- Entity type
- Organization (NPI-2)
- Legal business name
- Contra Costa County Health Services
- Organization subpart
- No
- Enumeration date
- Jan 18, 2007
- Last updated
- Aug 8, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 16497 | CA | Yes |
Practice location
303 41st StRichmond, CA 94805-2221
Phone 510-374-7159 · Fax 510-374-3857
Mailing address
303 41st StRichmond, CA 94805-2221
Phone 510-374-7159 · Fax 510-374-3857
Authorized official
Jon Eric Stenson
Progarm Supervisor
5103747159
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