Provider Demographics
NPI:1437453248
Name:GENESEE SALAMON, LCSW
Entity Type:Organization
Organization Name:GENESEE SALAMON, LCSW
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED CLINICIAL SOCIAL WORKER
Authorized Official - Prefix:MS
Authorized Official - First Name:GENESEE
Authorized Official - Middle Name:HELENA
Authorized Official - Last Name:SALAMON
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:530-570-0337
Mailing Address - Street 1:501 FIR ST
Mailing Address - Street 2:
Mailing Address - City:PARADISE
Mailing Address - State:CA
Mailing Address - Zip Code:95969-4520
Mailing Address - Country:US
Mailing Address - Phone:530-570-0337
Mailing Address - Fax:
Practice Address - Street 1:2220 SAINT GEORGE LN
Practice Address - Street 2:SUITE 6
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95926-1307
Practice Address - Country:US
Practice Address - Phone:530-570-0337
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-07
Last Update Date:2011-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS 25519251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health