Search › California › 101YP2500X
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NPI 1164199592 · on the registry since 2021
Practice
- Address
- 3960 Walnut Dr
Eureka, CA 95503 - Phone
- (707) 268-8722
- Organisation at this address
- Remi Vista Inc.
Covenant Counseling CenterInferred from a shared address, not stated in the registry. - Clinicians at this address
- 156
Additional practice sites
- 2259 Myrtle Ave, Eureka, CA
- 2259 Myrtle Ave, Eureka, CA
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Also registered as
- 101YM0800X
101YM0800X
390200000X - Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-09-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California