=====================================================
General NPI Number Information
=====================================================
NPI Number | 1427690106
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SACRAMENTO COUNTY OFFICE OF EDUCATION
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/14/2019
-----------------------------------------------------
Last Update Date | 10/14/2019
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | MILLS MIDDLE SCHOOL/FOLSOM-CORDOVA UNIFIED SCHOOL DISTR 10439 COLOMA ROAD, SCHOOL COUNSELING OFFICE
-----------------------------------------------------
City | RANCHO CORDOVA
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 95670-2107
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 916-294-9045
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | P.O. BOX 269003
-----------------------------------------------------
City | SACRAMENTO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 95826
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 916-228-2316
-----------------------------------------------------
Fax | 916-228-2290
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | ASSOCIATE SUPERINTENDENT, BUSINESS
-----------------------------------------------------
Name | TAMARA SANCHEZ
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 916-228-2550
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QM0855X
-----------------------------------------------------
Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------