Healthcare Provider Details

I. General information

NPI: 1255664439
Provider Name (Legal Business Name): MAGDALENA DOWNING
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/06/2009
Last Update Date: 01/21/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5750 SUNRISE BLVD
CITRUS HEIGHTS CA
95610-7634
US

IV. Provider business mailing address

209 BATTLECREEK CIR
SACRAMENTO CA
95835-1760
US

V. Phone/Fax

Practice location:
  • Phone: 916-284-2490
  • Fax:
Mailing address:
  • Phone: 916-284-2490
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberASW 29712
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: