Welcome | |
7844 Madison Ave., Suite 106 Fair Oaks CA 95628 | |
(916) 476-6301 | |
Not Available |
Full Name | Welcome |
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Speciality | Counselor - Mental Health |
Location | 7844 Madison Ave.,, Fair Oaks, California |
Authorized Official Name and Position | Sally Wynn (PARTNER) |
Authorized Official Contact | 9164766301 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Welcome 7844 Madison Ave., Suite 106 Fair Oaks CA 95628 Ph: (916) 476-6301 | Welcome 7844 Madison Ave., Suite 106 Fair Oaks CA 95628 Ph: (916) 476-6301 |
NPI Number | 1982954269 |
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Provider Enumeration Date | 09/14/2012 |
Last Update Date | 09/14/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982954269 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | RAS #W0702211501 (California) | Secondary |
101YM0800X | Counselor - Mental Health | MFT28031 (California) | Primary |
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