Organization · Type 2 NPI

Redwood Community Services, Inc.

Mental Health Counselor · Ukiah, CA

NPI number 1285772251 Active

Practice location

6150 Orr Springs Rd
Ukiah, CA 95482-9032

Call (707) 462-5056 Map

Fax (707) 462-5205

Mailing address

PO Box 2077
Ukiah, CA 95482

Specialties and licenses

Taxonomy	Code	License
Counselor	101Y00000X	None listed
Mental Health Counselor Primary	101YM0800X	None listed
Marriage & Family Therapist	106H00000X	None listed
Case Manager/Care Coordinator	171M00000X	None listed
Case Management Agency	251B00000X	None listed

Mental Health Counselor: Definition to come...

8 other providers at this address

NPI record

NPI: 1285772251
Entity type: Organization (Type 2)
Issued: Feb 2, 2007
Last updated: Jan 21, 2020
Status: Active
Subpart: Yes of Redwood Community Services, Inc.

Other names

<unavail>
Interpersonal Skills Training Center (istc) · other name

Authorized official

Mrs. Victoria Jersuha Kelly, LCSW
Chief Executive Officer
(707) 462-2010

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1285772251

Redwood Community Services, Inc.'s National Provider Identifier is 1285772251, issued on Feb 2, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Ukiah, CA. The record was last updated on Jan 21, 2020.