| Lifestar Sacramento | |
|
8261 Greenback Ln Ste 100 Fair Oaks CA 95628-2533 | |
| (916) 728-5433 | |
| Not Available |
| Full Name | Lifestar Sacramento |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 8261 Greenback Ln Ste 100, Fair Oaks, California |
| Authorized Official Name and Position | Leslie Haws (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9167285433 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifestar Sacramento 8261 Greenback Ln Ste 100 Fair Oaks CA 95628-2533 Ph: (916) 728-5433 | Lifestar Sacramento 8261 Greenback Ln Ste 100 Fair Oaks CA 95628-2533 Ph: (916) 728-5433 |
| NPI Number | 1780093294 |
|---|---|
| Provider Enumeration Date | 08/08/2014 |
| Last Update Date | 08/08/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780093294 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 36717 (California) | Primary |
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