Organization · Type 2 NPI
Agate Moon Ecotherapy Collective, Licensed Clinical Social Worker, Inc
Mental Health Clinic/Center (Including Community Mental Health Center) · Mckinleyville, CA
NPI number
1407546989
Active
Practice location
1776 Market Ave
Mckinleyville, CA 95519-4209
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | None listed |
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | None listed |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
Other mental health clinic/center (including community mental health center) providers in Mckinleyville
About NPI 1407546989
Agate Moon Ecotherapy Collective, Licensed Clinical Social Worker, Inc's National Provider Identifier is 1407546989, issued on May 9, 2023. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Mckinleyville, CA. The record was last updated on May 10, 2023.