Healthcare Provider Details

I. General information

NPI: 1558509976
Provider Name (Legal Business Name): NATALIE MEFFERD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/22/2009
Last Update Date: 01/22/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8400 FAIR OAKS BLVD
CARMICHAEL CA
95608-2502
US

IV. Provider business mailing address

8400 FAIR OAKS BLVD
CARMICHAEL CA
95608-2502
US

V. Phone/Fax

Practice location:
  • Phone: 916-944-3920
  • Fax: 916-944-7740
Mailing address:
  • Phone: 916-944-3920
  • Fax: 916-944-7740

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: