| Sierra Council On Alcoholism & Drug Dependence | |
|
11960 Heritage Oak Pl Suite 15 Auburn CA 95603-2401 | |
| (530) 885-1961 | |
| (530) 885-0713 |
| Full Name | Sierra Council On Alcoholism & Drug Dependence |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 11960 Heritage Oak Pl, Auburn, California |
| Authorized Official Name and Position | Debora Anne Martin (CHEIF EXECUTIVE OFFICER) |
| Authorized Official Contact | 9167978989 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sierra Council On Alcoholism & Drug Dependence 11960 Heritage Oak Pl Suite 15 Auburn CA 95603-2401 Ph: (530) 885-1961 | Sierra Council On Alcoholism & Drug Dependence 11960 Heritage Oak Pl Suite 15 Auburn CA 95603-2401 Ph: (530) 885-1961 |
| NPI Number | 1215131206 |
|---|---|
| Provider Enumeration Date | 06/13/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215131206 | NPI | - | NPPES |
| 31 AB | Other | CA | MEDI-CAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 310001EN (California) | Primary |
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