Healthcare Provider Details

I. General information

NPI: 1225965825
Provider Name (Legal Business Name): FULL CIRCLE FAMILY COUNSELING INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

5701 LONETREE BLVD STE 203
ROCKLIN CA
95765-3794
US

IV. Provider business mailing address

5701 LONETREE BLVD STE 203
ROCKLIN CA
95765-3794
US

V. Phone/Fax

Practice location:
  • Phone: 916-250-3108
  • Fax: 916-496-3952
Mailing address:
  • Phone: 916-250-3108
  • Fax: 916-496-3952

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: COURTNEY BRAIN
Title or Position: PRESIDENT
Credential:
Phone: 916-250-3108