Healthcare Provider Details

I. General information

NPI: 1619664216
Provider Name (Legal Business Name): DAVID SACHS LPCC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2023
Last Update Date: 04/24/2023
Certification Date: 04/23/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5701 LONETREE BLVD SUITE 126G
ROCKLIN CA
95765-3793
US

IV. Provider business mailing address

5701 LONETREE BLVD SUITE 126G
ROCKLIN CA
95765-3793
US

V. Phone/Fax

Practice location:
  • Phone: 916-581-9671
  • Fax: 916-304-7695
Mailing address:
  • Phone: 916-581-9671
  • Fax: 916-304-7695

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. DAVID JON SACHS
Title or Position: PRESIDENT/OWNER
Credential: LPCC, NCC
Phone: 916-581-9671