Agate Moon Ecotherapy Collective, Licensed Clinical Social Worker, Inc
Agate Moon Ecotherapy Collective, Licensed Clinical Social Worker, Inc is a Mental Health Clinic/Center (Including Community Mental Health Center) in McKinleyville, California. Registered with an NPI since 2023.
- In the registry since
- 2023
- Specialties on file
- 2
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1776 Market AveMcKinleyville, CA 95519-4209
Phone: (503) 440-5924
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Clinic/Center (Including Community Mental Health Center) (primary) | Taxonomy 261QM0801X |
|---|---|
| Adolescent and Children Mental Health Clinic/Center | Taxonomy 261QM0855X |
Record details
| NPI number | 1407546989 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Bo Hamer — Ceo - Clinical Director · (503) 440-5924 |
| NPI enumerated | May 9, 2023 |
| Last updated in NPPES | May 10, 2023 |
| Certification date | May 10, 2023 |
| Mailing address | 1776 Market Ave, McKinleyville, CA 95519-4209 |
Other providers in McKinleyville
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Fritzie Fernandez-Craft LMFT
1356 Wrangler Ct, McKinleyville, CA 95519-5821 · (707) 845-3542
-
North Coast Nurture Center
1225 Central Ave Ste 2, McKinleyville, CA 95519-4390 · (707) 601-5622