Healthcare Provider Details

I. General information

NPI: 1598699357
Provider Name (Legal Business Name): JEREMY SAUCIER
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/09/2026
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12183 LOCKSLEY LN STE 100
AUBURN CA
95602-2004
US

IV. Provider business mailing address

12183 LOCKSLEY LN STE 100
AUBURN CA
95602-2004
US

V. Phone/Fax

Practice location:
  • Phone: 530-537-2305
  • Fax:
Mailing address:
  • Phone: 530-537-2305
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberRT1445620526
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: