| Ileihno Bopachemihn, Inc. | |
|
4616 El Camino Avenue Suite B Sacramento CA 95821 | |
| (619) 701-2546 | |
| Not Available |
| Full Name | Ileihno Bopachemihn, Inc. |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 4616 El Camino Avenue, Sacramento, California |
| Authorized Official Name and Position | Tatiana Moore (CLINICAL SERVICES DIRECTOR) |
| Authorized Official Contact | 6197012546 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ileihno Bopachemihn, Inc. 4616 El Camino Avenue Suite B Sacramento CA 95821 Ph: (619) 701-2546 | Ileihno Bopachemihn, Inc. 4616 El Camino Avenue Suite B Sacramento CA 95821 Ph: (619) 701-2546 |
| NPI Number | 1124735758 |
|---|---|
| Provider Enumeration Date | 11/02/2022 |
| Last Update Date | 11/02/2022 |
| Certification Date | 11/02/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124735758 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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