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Ms. Theresa Lea Hodges, CADC
Peer Specialist in Grass Valley, California
NPI 1053644328

Theresa Lea Hodges is a Peer Specialist based in Grass Valley, CA. Theresa Lea Hodges practices in Grass Valley, CA and has the professional credentials of CADC. The NPI Number for Theresa Lea Hodges is 1053644328 and holds a License No. C19661214 (California).

The current practice location address for Theresa Lea Hodges is 13192 Brunswick Rd, Grass Valley, CA and can be reached out via phone at 530-273-0631 and via fax at 530-504-4328.

Location: 13192 Brunswick Rd, Grass Valley, CA, 95945-9388
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053644328
Provider Name
Theresa Lea Hodges
Credential
CADC
Provider Entity Type
Individual
Gender
Female
Address
13192 Brunswick Rd, Grass Valley, CA, 95945-9388
Phone Number
530-273-0631
Fax Number
530-504-4328
Provider Enumeration Date
09/17/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6906 01 CA CAARR
institution
Provider Business Practice Location Address Details
Address
13192 Brunswick Rd
City
Grass Valley
State
California
Zip
95945-9388
Phone Number
530-273-0631
Fax Number
530-504-4328
person
Provider Business Mailing Address Details
Address
13192 Brunswick Rd
City
Grass Valley
State
California
Zip
95945-9388
Phone Number
530-273-0631
Fax Number
530-504-4328
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
MPSS-RJOFHE (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
C19661214 (California)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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