Individual provider · Type 1 NPI

Carrie Jean Slack

Mental Health Counselor · Grass Valley, CA

NPI number 1245716554 Active

Practice location

714 W Main St
Grass Valley, CA 95945-6410

Fax (530) 477-9803

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1245716554

Carrie Jean Slack's National Provider Identifier is 1245716554, issued on Jul 19, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Grass Valley, CA. The record was last updated on Jul 19, 2018.