Authentic Gains Llc | |
555 Oakdale St Ste D Folsom CA 95630-2451 | |
(916) 496-7663 | |
Not Available |
Full Name | Authentic Gains Llc |
---|---|
Speciality | Social Worker |
Location | 555 Oakdale St Ste D, Folsom, California |
Authorized Official Name and Position | Gina Nelson (PROVIDER) |
Authorized Official Contact | 9164967663 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Authentic Gains Llc 555 Oakdale St Ste D Folsom CA 95630-2451 Ph: (916) 496-7663 | Authentic Gains Llc 555 Oakdale St Ste D Folsom CA 95630-2451 Ph: (916) 496-7663 |
NPI Number | 1124686605 |
---|---|
Provider Enumeration Date | 05/30/2019 |
Last Update Date | 05/30/2019 |
Medicare PECOS PAC ID | 0244649036 |
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Medicare Enrollment ID | O20210909001565 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124686605 | NPI | - | NPPES |
LCS19822 | Other | CA | LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Gina E Nelson |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1992217277 PECOS PAC ID: 3870852411 Enrollment ID: I20210909001713 |
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