Organization · Type 2 NPI
Fenwood Licensed Professional Clinical Counselor, PC
Mental Health Clinic/Center (Including Community Mental Health Center) · Rocklin, CA
NPI number
1114770989
Active
Practice location
5800 Stanford Ranch Rd Ste 610
Rocklin, CA 95765-4387
Mailing address
8690 Sierra College Blvd Ste 160-140
Roseville, CA 95661-5961
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | None listed |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
Another provider at this address
Other mental health clinic/center (including community mental health center) providers in Rocklin
About NPI 1114770989
Fenwood Licensed Professional Clinical Counselor, PC's National Provider Identifier is 1114770989, issued on Apr 10, 2024. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Rocklin, CA. The record was last updated on Apr 10, 2024.