Bridges to Self Empowerment a Marriage and Family Therapist Corporatio
Bridges to Self Empowerment a Marriage and Family Therapist Corporatio is a Community/Behavioral Health Agency in Santa Rosa, California. Licensed in California. Registered with an NPI since 2017.
- Licensed in
- CA
- In the registry since
- 2017
Practice location Address checks out
406 Chinn StSanta Rosa, CA 95404-4339
Phone: (707) 495-5350
Fax: (707) 570-2680
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Specialties & licences
| Community/Behavioral Health Agency (primary) | Taxonomy 251S00000X · Licence MFC43967 (CA) |
|---|
Record details
| NPI number | 1336686369 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Bridges to Self Empowerment |
| Authorized official | Alice Petty-Hannum — Corporation Owner · (707) 495-5350 |
| Other names | Alice Petty-Hannum Mft |
| NPI enumerated | January 29, 2017 |
| Last updated in NPPES | January 29, 2017 |
| Mailing address | 406 Chinn St, Santa Rosa, CA 95404-4339 |
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