Kelly K Hanzy Therapy | |
3065 Freeport Blvd Ste 11 Sacramento CA 95818-4347 | |
(916) 767-1312 | |
Not Available |
Full Name | Kelly K Hanzy Therapy |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 3065 Freeport Blvd Ste 11, Sacramento, California |
Authorized Official Name and Position | Kelly Hanzy (MANAGER) |
Authorized Official Contact | 5103235343 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Kelly K Hanzy Therapy Po Box 348056 Sacramento CA 95834-8056 Ph: (510) 323-5343 | Kelly K Hanzy Therapy 3065 Freeport Blvd Ste 11 Sacramento CA 95818-4347 Ph: (916) 767-1312 |
NPI Number | 1336927813 |
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Provider Enumeration Date | 09/18/2023 |
Last Update Date | 09/18/2023 |
Certification Date | 09/17/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336927813 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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