| |
3331 Power Inn Rd Ste 170 Sacramento CA 95826-3889 | |
(916) 876-7770 | |
(916) 875-9970 |
Full Name | |
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Speciality | Counselor - Mental Health |
Location | 3331 Power Inn Rd, Sacramento, California |
Authorized Official Name and Position | Yeng Xiong (SENIOR MENTAL HEALTH COUNSELOR) |
Authorized Official Contact | 9168767770 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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3331 Power Inn Rd Ste 170 Sacramento CA 95826-3889 Ph: (916) 876-7770 | 3331 Power Inn Rd Ste 170 Sacramento CA 95826-3889 Ph: (916) 876-7770 |
NPI Number | 1164531398 |
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Provider Enumeration Date | 08/30/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1164531398 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YM0800X | Counselor - Mental Health | ASW 13382 (California) | Primary |
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