Fenwood Licensed Professional Clinical Counselor, PC
NPI #1114770989 in Rocklin, California
Provider Information
- NPI Number
- 1114770989
- Entity Type
- Organization
- Organization Name
- Fenwood Licensed Professional Clinical Counselor, PC
- Primary Specialty
- Clinic/Center - Mental Health (Including Community Mental Health Center)
- Enumeration Date
- Apr 10, 2024
- Last Updated
- Apr 10, 2024
Practice Location
- Address
- 5800 STANFORD RANCH RD STE 610
- City
- Rocklin
- State
- California
- ZIP Code
- 95765-4387
- Phone
- (916) 251-9474
Authorized Official
- Name
- LINDSEY BUCK-MOYER, LPCC
- Title
- OWNER/CEO
- Phone
- (916) 251-9474
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center) |
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