Healthcare Provider Details

I. General information

NPI: 1972124873
Provider Name (Legal Business Name): CHRISTINE JOY HU SESSION
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CHRISTINE JOY DIWATA HU

II. Dates (important events)

Enumeration Date: 05/01/2020
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5342 DUDLEY BLVD
MCCLELLAN CA
95652-1012
US

IV. Provider business mailing address

PO BOX 215414
SACRAMENTO CA
95821-1414
US

V. Phone/Fax

Practice location:
  • Phone: 800-382-8387
  • Fax:
Mailing address:
  • Phone: 916-561-7546
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: