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NPI Code Detail

MEDICARE: EMILY MICHELLE SMOLLER

MEDICARE: EMILY MICHELLE SMOLLER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist150730CA

General Provider Information

NPI Number : 1356783435
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY MICHELLE SMOLLER
Provider Business Mailing Address
First Line : 2829 WATT AVE STE 200
Second Line :
City : SACRAMENTO
State : CA
Zip : 95821-6245
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2829 WATT AVE STE 200
Second Line :
City : SACRAMENTO
State : CA
Zip : 95821-6245
Country : US
Telephone Number : 916-418-0828
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2013
Last Update Date : 02/14/2025

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Directions to “ EMILY MICHELLE SMOLLER ” Practice Location

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