Organization · Type 2 NPI

Thrive Teen Therapy Licensed Clinical Social Worker Apc

Mental Health Counselor · Tracy, CA

NPI number 1831072180 Active

Practice location

68 E 11th St Ste 107
Tracy, CA 95376-4088

Fax (209) 975-5029

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1831072180

Thrive Teen Therapy Licensed Clinical Social Worker Apc's National Provider Identifier is 1831072180, issued on Jul 25, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Tracy, CA. The record was last updated on Jun 29, 2026.