Healthcare Provider Details

I. General information

NPI: 1932314184
Provider Name (Legal Business Name): ASIAN PACIFIC COMMUNITY COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2007
Last Update Date: 06/14/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7273 14TH AVE SUITE 120-B
SACRAMENTO CA
95820
US

IV. Provider business mailing address

7273 14TH AVE SUITE 120-B
SACRAMENTO CA
95820
US

V. Phone/Fax

Practice location:
  • Phone: 916-383-6783
  • Fax: 916-383-8488
Mailing address:
  • Phone: 916-383-6783
  • Fax: 916-383-8488

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: YAMINI L MALROUTU
Title or Position: CHIEF OPERATIONS OFFICER
Credential: PH.D.
Phone: 916-383-6783