Organization · Type 2 NPI
Memoryco, LLC
Counselor · Pine Mountain Club, CA
NPI number
1780137596
Active
Practice location
2248 Saint Bernard Drive
Pine Mountain Club, CA 93222
Mailing address
PO Box 5253
Pine Mountain Club, CA 93222-5253
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | None listed |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
About NPI 1780137596
Memoryco, LLC's National Provider Identifier is 1780137596, issued on Jul 28, 2016. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Pine Mountain Club, CA. The record was last updated on Jul 28, 2016.