Healthcare Provider Details

I. General information

NPI: 1912732447
Provider Name (Legal Business Name): KAUR PROFESSIONAL CLINICAL COUNSELORS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/04/2024
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9370 STUDIO CT STE 100A
ELK GROVE CA
95758-8047
US

IV. Provider business mailing address

9370 STUDIO CT STE 100A
ELK GROVE CA
95758-8047
US

V. Phone/Fax

Practice location:
  • Phone: 916-582-7453
  • Fax: 916-582-3842
Mailing address:
  • Phone: 916-582-7453
  • Fax: 916-582-3842

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TP0814X
TaxonomyPsychoanalysis Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: NAVNEET KAUR
Title or Position: CEO FOUNDER
Credential: PHD, LPCC
Phone: 916-582-7453