| Crisara Creative Therapy, Llc | |
|
7000 Franklin Boulevard Suite 350 Sacramento CA 95823-1839 | |
| (916) 422-8862 | |
| (916) 422-2050 |
| Full Name | Crisara Creative Therapy, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 7000 Franklin Boulevard, Sacramento, California |
| Authorized Official Name and Position | Ava Jean Williams (CEO/DIRECTOR OF COUNSELING) |
| Authorized Official Contact | 9164228862 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crisara Creative Therapy, Llc Po Box 581748 Elk Grove CA 95758-0030 Ph: (916) 422-8862 | Crisara Creative Therapy, Llc 7000 Franklin Boulevard Suite 350 Sacramento CA 95823-1839 Ph: (916) 422-8862 |
| NPI Number | 1992724934 |
|---|---|
| Provider Enumeration Date | 07/19/2006 |
| Last Update Date | 02/27/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992724934 | NPI | - | NPPES |
| V797P-7015A | Other | CA | FEDERAL GSA/FSS |
| 31474 | Other | CA | DEPT OF TRANSPORTATION |
| ZZZ67877Z | Other | CA | BLUE SHIELD/BLUE CROSS |
| 6DN00022 | Other | CA | CPUC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (California) | Secondary |
| 251S00000X | Community/behavioral Health | 9555 (California) | Primary |
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