Patriot Counseling Services
NPI #1114467552 in Portola, California
Provider Information
- NPI Number
- 1114467552
- Entity Type
- Organization
- Organization Name
- Patriot Counseling Services
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Mar 5, 2017
- Last Updated
- Mar 17, 2017
Practice Location
- Address
- 545 W SIERRA ST
- City
- Portola
- State
- California
- ZIP Code
- 96122-8615
- Phone
- (775) 848-9771
Authorized Official
- Name
- CHARLA ANN RUSH, MS, CATC IV, MAC, SA
- Title
- PRESIDENT OF AGENCY AND TREATMENT P
- Phone
- (775) 848-9771
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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