| Whole Wellness Therapy | |
|
4112 Pennsylvania Ave Fair Oaks CA 95628-7413 | |
| (916) 619-7744 | |
| (916) 581-8691 |
| Full Name | Whole Wellness Therapy |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 4112 Pennsylvania Ave, Fair Oaks, California |
| Authorized Official Name and Position | Isaac Smith (CEO) |
| Authorized Official Contact | 9166193405 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Whole Wellness Therapy 4112 Pennsylvania Ave Fair Oaks CA 95628-7413 Ph: (916) 619-3405 | Whole Wellness Therapy 4112 Pennsylvania Ave Fair Oaks CA 95628-7413 Ph: (916) 619-7744 |
| NPI Number | 1811536337 |
|---|---|
| Provider Enumeration Date | 01/01/2020 |
| Last Update Date | 06/02/2023 |
| Certification Date | 06/02/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811536337 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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