| Amhs, Licensed Clinical Social Worker, Prof Corp | |
|
2621 Capitol Ave Unit 4 Sacramento CA 95816-5937 | |
| (279) 346-4558 | |
| Not Available |
| Full Name | Amhs, Licensed Clinical Social Worker, Prof Corp |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2621 Capitol Ave Unit 4, Sacramento, California |
| Authorized Official Name and Position | Jennifer L Moore (PRESIDENT) |
| Authorized Official Contact | 2793464558 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Amhs, Licensed Clinical Social Worker, Prof Corp 2621 Capitol Ave Unit 4 Sacramento CA 95816-5937 Ph: (279) 346-4558 | Amhs, Licensed Clinical Social Worker, Prof Corp 2621 Capitol Ave Unit 4 Sacramento CA 95816-5937 Ph: (279) 346-4558 |
| NPI Number | 1891434148 |
|---|---|
| Provider Enumeration Date | 06/02/2022 |
| Last Update Date | 06/02/2022 |
| Certification Date | 06/02/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891434148 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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