Provider Demographics
NPI:1033651922
Name:NARUM CLINICAL SERVICES
Entity Type:Organization
Organization Name:NARUM CLINICAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GAIL
Authorized Official - Middle Name:DENISE
Authorized Official - Last Name:NARUM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:707-441-8626
Mailing Address - Street 1:930 3RD ST, SUITE 201
Mailing Address - Street 2:
Mailing Address - City:EUREKA
Mailing Address - State:CA
Mailing Address - Zip Code:95501
Mailing Address - Country:US
Mailing Address - Phone:707-441-8626
Mailing Address - Fax:707-442-5040
Practice Address - Street 1:930 3RD ST, SUITE 201
Practice Address - Street 2:
Practice Address - City:EUREKA
Practice Address - State:CA
Practice Address - Zip Code:95501
Practice Address - Country:US
Practice Address - Phone:707-441-8626
Practice Address - Fax:707-442-5040
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-09
Last Update Date:2016-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCSW120361041C0700X
CAASW645421041C0700X
CAMFT27990106H00000X
CALMFT31915106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty