Provider Information for 1992971956
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TONI LOUISE CHILDS M.A., LMFT
Sex: Female
NPI: 1992971956
Last Updated: 2023-06-14
Certification Date: 2023-06-14
Certification Date: 2023-06-14
Details
Name | Value | ||||||||||||
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NPI | 1992971956 | ||||||||||||
Enumeration Date | 2008-04-30 | ||||||||||||
NPI Type | NPI-1 Individual | ||||||||||||
Sole Proprietor | YES | ||||||||||||
Status | Active | ||||||||||||
Mailing Address | 3304 SHASTA DAM BLVD SPC 110 SHASTA LAKE, CA 96019-9592 United States Phone: 530-524-7246 | Fax: | ||||||||||||
Primary Practice Address | 2750 EUREKA WAY STE 101 REDDING, CA 96001-0251 United States Phone: 530-524-7246 | Fax: | ||||||||||||
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