| Blue Sky Counseling Center Corporation | |
|
1899 E Roseville Pkwy Suite 140 Roseville CA 95661-7979 | |
| (916) 747-3799 | |
| (916) 756-0352 |
| Full Name | Blue Sky Counseling Center Corporation |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1899 E Roseville Pkwy, Roseville, California |
| Authorized Official Name and Position | Jennica Rachel Jenkins (PRESIDENT CLINICAL DIRECTOR) |
| Authorized Official Contact | 9167473799 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Sky Counseling Center Corporation 2351 Sunset Blvd Suite 170-241 Rocklin CA 95765-4338 Ph: (916) 747-3799 | Blue Sky Counseling Center Corporation 1899 E Roseville Pkwy Suite 140 Roseville CA 95661-7979 Ph: (916) 747-3799 |
| NPI Number | 1346652187 |
|---|---|
| Provider Enumeration Date | 05/28/2014 |
| Last Update Date | 05/28/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346652187 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LPCC26 (California) | Primary |
| 251S00000X | Community/behavioral Health | LPC6072 (Colorado) | Secondary |
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