Shady Creek Therapy
NPI #1710543483 in Chester, California
Provider Information
- NPI Number
- 1710543483
- Entity Type
- Organization
- Organization Name
- Shady Creek Therapy
- Primary Specialty
- Marriage & Family Therapist
- Enumeration Date
- May 17, 2019
- Last Updated
- May 17, 2019
Practice Location
- Address
- 289 MAIN ST #6
- City
- Chester
- State
- California
- ZIP Code
- 96020-9602
- Phone
- (530) 713-8266
Authorized Official
- Name
- TERI L JACKSON, LMFT109393
- Title
- MARRIAGE FAMILY THERAPIST
- Phone
- (530) 713-8266
Specialties & Taxonomy Codes
| Specialty |
|---|
| Marriage & Family Therapist |
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