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ROSE LINDA CHURCHILL MFT

>> Marriage & Family Therapist >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1619163516

Individual Registrant:
 ROSE LINDA CHURCHILL MFT
Gender: F
Sole Proprietor

Location and contact information for practice:
1230 N ANDERSON RD  EXETER, CA 93221-9674 US
Tel: 559-799-8531  Fax: --

Contact information for business:
PO BOX 6682  VISALIA, CA 93290-6682 US
Tel: 559-799-8530  Fax: --

Registration Information:
NPI: 1619163516
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y106H00000XBehavioral Health & Social Service Providers
Marriage & Family Therapist
CAMFC36092

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
BBSEMFC36092CA01




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