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8001 Folsom Blvd Sacramento CA 95826-2621 | |
| (916) 395-9000 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 8001 Folsom Blvd, Sacramento, California |
| Authorized Official Name and Position | Brandi Juarez (SN. DIRECTOR MENTAL HEALTH PROGRAMS) |
| Authorized Official Contact | 9162067784 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
8037 Fair Oaks Blvd Ste 110 Carmichael CA 95608-6742 Ph: (916) 206-7784 | 8001 Folsom Blvd Sacramento CA 95826-2621 Ph: (916) 395-9000 |
| NPI Number | 1578169157 |
|---|---|
| Provider Enumeration Date | 12/08/2020 |
| Last Update Date | 05/20/2021 |
| Certification Date | 05/20/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578169157 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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