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25 Cadillac Dr Ste #132 Sacramento CA 95825-8349 | |
| (916) 494-9218 | |
| (916) 282-1698 |
| Full Name | |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 25 Cadillac Dr, Sacramento, California |
| Authorized Official Name and Position | James Meyer (FOUNDER) |
| Authorized Official Contact | 9164949218 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
25 Cadillac Dr Ste #132 Sacramento CA 95825-8349 Ph: (916) 494-9218 | 25 Cadillac Dr Ste #132 Sacramento CA 95825-8349 Ph: (916) 494-9218 |
| NPI Number | 1992199103 |
|---|---|
| Provider Enumeration Date | 03/25/2015 |
| Last Update Date | 04/02/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992199103 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | LCSW62672 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | LCSW62672 (California) | Primary |
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