CHRYSALIS COMMUNITY COUNSELING SERVICES - NPI 1780055897

Q: What is Chrysalis Community Counseling Services's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

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About Chrysalis Community Counseling Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHRYSALIS COMMUNITY COUNSELING SERVICES (NPI 1780055897) is a healthcare organization registered as a mental health (including community mental health center) in Santa Rosa, California and active in the NPI registry since October 2015. The organization lists Lisa Mathiesen, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1780055897

Entity TypeOrganization

Primary Taxonomy261QM0801X

Legal Business NameCHRYSALIS COMMUNITY COUNSELING SERVICES

Location Address1821 4TH STSanta Rosa, CA 95404-3202

Mailing Address1821 4th StSanta Rosa, CA 95404-3202 · (707) 545-7670 · Fax (707) 545-3715

Phone(707) 545-7670

Fax(707) 545-3715

Organization SubpartNo

Authorized OfficialLisa MathiesenExecutive Director · (707) 545-1670

Enumeration DateOctober 14, 2015

✔ NPI 1780055897 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities

Taxonomy Code261QM0801X

1821 4TH ST, Santa Rosa, CA 95404

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Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JILL APPLEGATE MARRIAGE AND FAMILY THERAPY, INC.

Clinic/Center (Mental Health (Including Community Mental Health Center))