Healthcare Provider Details

I. General information

NPI: 1245155746
Provider Name (Legal Business Name): DENISSE JANETH URRUTIA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6601 GUTHRIE ST
NORTH HIGHLANDS CA
95660-3911
US

IV. Provider business mailing address

8325 RIO LINDA BLVD
ELVERTA CA
95626-9551
US

V. Phone/Fax

Practice location:
  • Phone: 916-566-3465
  • Fax:
Mailing address:
  • Phone: 916-566-3465
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: