Healthcare Provider Details

I. General information

NPI: 1316306780
Provider Name (Legal Business Name): ADELE MARGARET KNOX MARKEY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/15/2016
Last Update Date: 10/11/2024
Certification Date: 10/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

207 E ST STE B
DAVIS CA
95616-4523
US

IV. Provider business mailing address

3835 N FREEWAY BLVD STE 100
SACRAMENTO CA
95834-1954
US

V. Phone/Fax

Practice location:
  • Phone: 530-206-9996
  • Fax:
Mailing address:
  • Phone: 916-576-7900
  • Fax: 916-277-9380

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberLMFT149595
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: