Healthcare Provider Details

I. General information

NPI: 1326422478
Provider Name (Legal Business Name): STEFANIE HUFF
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/17/2015
Last Update Date: 01/31/2023
Certification Date: 01/31/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7300 WYNDHAM DR # 4913
SACRAMENTO CA
95823-4913
US

IV. Provider business mailing address

400 19TH ST
SACRAMENTO CA
95811-1102
US

V. Phone/Fax

Practice location:
  • Phone: 916-525-6280
  • Fax:
Mailing address:
  • Phone: 707-260-9633
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number110653
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: