Healthcare Provider Details

I. General information

NPI: 1417554007
Provider Name (Legal Business Name): NORMAN PLOTKIN CHT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/06/2020
Last Update Date: 10/06/2020
Certification Date: 10/06/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

717 K ST STE 430
SACRAMENTO CA
95814-3477
US

IV. Provider business mailing address

717 K ST STE 430
SACRAMENTO CA
95814-3477
US

V. Phone/Fax

Practice location:
  • Phone: 916-400-9885
  • Fax:
Mailing address:
  • Phone: 916-400-9885
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: