| Sunlight Counseling Center-licensed Clinical Social Worker Professiona | |
|
7921 Kingswood Dr Ste A5-e Citrus Heights CA 95610-7710 | |
| (916) 690-0446 | |
| Not Available |
| Full Name | Sunlight Counseling Center-licensed Clinical Social Worker Professiona |
|---|---|
| Speciality | Social Worker |
| Location | 7921 Kingswood Dr Ste A5-e, Citrus Heights, California |
| Authorized Official Name and Position | Jesse Ngu (OWNER, LCSW) |
| Authorized Official Contact | 9166900446 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunlight Counseling Center-licensed Clinical Social Worker Professiona 7921 Kingswood Dr Ste A5-e Citrus Heights CA 95610-7710 Ph: () - | Sunlight Counseling Center-licensed Clinical Social Worker Professiona 7921 Kingswood Dr Ste A5-e Citrus Heights CA 95610-7710 Ph: (916) 690-0446 |
| NPI Number | 1033832266 |
|---|---|
| Provider Enumeration Date | 09/22/2022 |
| Last Update Date | 09/22/2022 |
| Certification Date | 09/22/2022 |
| Medicare PECOS PAC ID | 4183093347 |
|---|---|
| Medicare Enrollment ID | O20221209000520 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033832266 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jesse Ngu |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982842860 PECOS PAC ID: 1254700412 Enrollment ID: I20221214000846 |
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