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NPI Code Detail

MEDICARE: MS. TERRY LARAINE ZICK M.A.

MEDICARE:  MS. TERRY LARAINE ZICK  M.A.
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
1101Y00000XCounselor

General Provider Information

NPI Number : 1609902691
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. TERRY LARAINE ZICK M.A.
Provider Business Mailing Address
First Line : 9719 LINCOLN VILLAGE DR
Second Line : 300
City : SACRAMENTO
State : CA
Zip : 95827-3303
Country : US
Telephone Number : 916-485-4175
Fax Number :
Provider Business Practice Location Address
First Line : 9719 LINCOLN VILLAGE DR
Second Line : 300
City : SACRAMENTO
State : CA
Zip : 95827-3303
Country : US
Telephone Number : 916-485-4175
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/26/2007
Last Update Date : 04/02/2015

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Directions to “ MS. TERRY LARAINE ZICK M.A.” Practice Location

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