| Jesse Wade Therapy Inc. | |
|
2001 N St Ste 100 Sacramento CA 95811-4237 | |
| (916) 616-4505 | |
| Not Available |
| Full Name | Jesse Wade Therapy Inc. |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 2001 N St Ste 100, Sacramento, California |
| Authorized Official Name and Position | Jesse Wade (PRESIDENT) |
| Authorized Official Contact | 9166164504 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jesse Wade Therapy Inc. 2001 N St Ste 100 Sacramento CA 95811-4237 Ph: (916) 616-4505 | Jesse Wade Therapy Inc. 2001 N St Ste 100 Sacramento CA 95811-4237 Ph: (916) 616-4505 |
| NPI Number | 1376299032 |
|---|---|
| Provider Enumeration Date | 02/22/2022 |
| Last Update Date | 02/22/2022 |
| Certification Date | 02/22/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376299032 | NPI | - | NPPES |
| 1194159897 | Other | CA | OTHER AGENCY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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