Shannon Cousins-kamara, is a
Community Based Residential Treatment Facility, Mental Illness based in Sacramento, California. Shannon Cousins-kamara is licensed to practice in * (Not Available) (license number ) and her current practice location is
650 Howe Ave, Sacramento, California. She can be reached at her office (for appointments etc.) via phone at
(916) 993-4131.
NPI number for Shannon Cousins-kamara is 1003086869 and her current mailing address is 149 Cinema St, Sacramento, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1003086869.
Healthcare Provider's Profile
| Full Name | Shannon Cousins-kamara |
|---|
| Gender | Female |
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| Speciality | Community Based Residential Treatment Facility, Mental Illness |
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| Location | 650 Howe Ave, Sacramento, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1003086869
- Provider Enumeration Date: 03/07/2008
- Last Update Date: 09/14/2018
Medical Identifiers
Medical identifiers for Shannon Cousins-kamara such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1003086869 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 320800000X | Community Based Residential Treatment Facility, Mental Illness | (* (Not Available)) | Primary |
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shannon Cousins-kamara is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Shannon Cousins-kamara,
149 Cinema St,
Sacramento, CA 95823-7320
Ph: (916) 991-2641 | Shannon Cousins-kamara,
650 Howe Ave,
Sacramento, CA 95825-4731
Ph: (916) 993-4131 |
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