Provider Demographics
NPI:1639814510
Name:NORTHERN CALIFORNIA FAMILY COUNSELING AND WELLNESS CENTER INC
Entity Type:Organization
Organization Name:NORTHERN CALIFORNIA FAMILY COUNSELING AND WELLNESS CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:WHITNEY
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:530-768-7397
Mailing Address - Street 1:2040 SHASTA ST STE C
Mailing Address - Street 2:
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96001-0471
Mailing Address - Country:US
Mailing Address - Phone:530-768-7397
Mailing Address - Fax:
Practice Address - Street 1:2040 SHASTA ST STE C
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96001-0471
Practice Address - Country:US
Practice Address - Phone:530-768-7397
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-04
Last Update Date:2022-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty