Healthcare Provider Details
I. General information
NPI: 1699924126
Provider Name (Legal Business Name): FEY F SAECHAO
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 09/09/2008
Last Update Date: 09/27/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7273 14TH AVE SUITE 120-B
SACRAMENTO CA
95820-3500
US
IV. Provider business mailing address
7273 14TH AVE SUITE 120-B
SACRAMENTO CA
95820-3500
US
V. Phone/Fax
- Phone: 916-383-6784
- Fax: 916-383-8488
- Phone: 916-383-6784
- Fax: 916-383-8488
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | NULL |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 104100000X |
| Taxonomy | Social Worker |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: