Tina L Churchman
Counselor in Grass Valley, CA. Individual provider (NPI-1).
NPI number1760645337
StatusActive
Last updated in NPPESApr 6, 2011
Details
- NPI
- 1760645337
- Entity type
- Individual (NPI-1)
- Name
- Tina L Churchman
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 3, 2008
- Last updated
- Apr 6, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | – | – | Yes |
| 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | – | – |
Practice location
333 Crown Point Cir#125
Grass Valley, CA 95945-9534
Phone 530-273-2244
Mailing address
333 Crown Point Cir#125
Grass Valley, CA 95945-9534
Phone 530-273-2244
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All 123 Counselor providers in Grass Valley · All 2,088 providers in Grass Valley
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