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NPI Code Detail

MEDICARE: MRS. RACHEL JUSTINE ENGLUND

MEDICARE: MRS. RACHEL JUSTINE ENGLUND
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist

General Provider Information

NPI Number : 1063630754
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. RACHEL JUSTINE ENGLUND
Provider Business Mailing Address
First Line : 8680 WOODROCK WAY
Second Line :
City : GRANITE BAY
State : CA
Zip : 95746-8101
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3870 ROSIN CT
Second Line : SUITE 130
City : SACRAMENTO
State : CA
Zip : 95834-1620
Country : US
Telephone Number : 916-363-1553
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/20/2007
Last Update Date : 09/29/2011

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Directions to “ MRS. RACHEL JUSTINE ENGLUND ” Practice Location

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