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NPI Code Detail

MEDICARE: DEBRA JANE SCHNACK MFT

MEDICARE:   DEBRA JANE SCHNACK  MFT
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 Therapist

General Provider Information

NPI Number : 1477664787
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBRA JANE SCHNACK MFT
Provider Business Mailing Address
First Line : 2101 STONE BLVD STE 240
Second Line :
City : WEST SACRAMENTO
State : CA
Zip : 95691-4044
Country : US
Telephone Number : 916-716-7626
Fax Number : 610-643-6730
Provider Business Practice Location Address
First Line : 2101 STONE BLVD STE 240
Second Line :
City : WEST SACRAMENTO
State : CA
Zip : 95691-4044
Country : US
Telephone Number : 916-716-7626
Fax Number : 610-643-6730
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2006
Last Update Date : 08/18/2010

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Directions to “ DEBRA JANE SCHNACK MFT” Practice Location

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