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10940 Fair Oaks Blvd Ste 600 Fair Oaks CA 95628-5958 | |
| (916) 426-2757 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 10940 Fair Oaks Blvd Ste 600, Fair Oaks, California |
| Authorized Official Name and Position | Nancy Ryan (PRESIDENT) |
| Authorized Official Contact | 9164262757 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
10940 Fair Oaks Blvd Ste 600 Fair Oaks CA 95628-5958 Ph: (916) 426-2757 | 10940 Fair Oaks Blvd Ste 600 Fair Oaks CA 95628-5958 Ph: (916) 426-2757 |
| NPI Number | 1407339591 |
|---|---|
| Provider Enumeration Date | 09/13/2018 |
| Last Update Date | 08/25/2022 |
| Certification Date | 08/25/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407339591 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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