Healthcare Provider Details

I. General information

NPI: 1841106689
Provider Name (Legal Business Name): SHERLYN GUADALUPE VILLALOBOS ACOSTA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/21/2026
Last Update Date: 08/21/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 JEFFERSON BLVD #B195
WEST SACRAMENTO CA
95605
US

IV. Provider business mailing address

361 BOWMAN AVE
SACRAMENTO CA
95833
US

V. Phone/Fax

Practice location:
  • Phone: 916-403-2970
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: