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4801 J St Suite E Sacramento CA 95819-3746 | |
| (916) 456-4624 | |
| (916) 456-5648 |
| Full Name | |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 4801 J St, Sacramento, California |
| Authorized Official Name and Position | Debra J Tripp (OWNER) |
| Authorized Official Contact | 9164564624 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 19037 Sacramento CA 95819-0037 Ph: (916) 456-4624 | 4801 J St Suite E Sacramento CA 95819-3746 Ph: (916) 456-4624 |
| NPI Number | 1295054666 |
|---|---|
| Provider Enumeration Date | 05/25/2010 |
| Last Update Date | 05/25/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295054666 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | MFC 37882 (California) | Primary |
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