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601 University Ave Suite 225 Sacramento CA 95825-6775 | |
| (916) 614-9200 | |
| (916) 614-9201 |
| Full Name | |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 601 University Ave, Sacramento, California |
| Authorized Official Name and Position | Robin Kirk (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 9166149200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
601 University Ave Suite 225 Sacramento CA 95825-6775 Ph: (916) 614-9200 | 601 University Ave Suite 225 Sacramento CA 95825-6775 Ph: (916) 614-9200 |
| NPI Number | 1063795532 |
|---|---|
| Provider Enumeration Date | 09/21/2011 |
| Last Update Date | 09/21/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063795532 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 37167 (California) | Primary |
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