MEDICARE: KAROLINE ELIZABETH BRANDT-GOURDIN

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
1	106H00000X	Marriage & Family Therapist		CA

General Provider Information

NPI Number	:	1134070790
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAROLINE ELIZABETH BRANDT-GOURDIN

Provider Business Mailing Address
First Line	:	139 GOLD CREEK CIR
Second Line	:
City	:	FOLSOM
State	:	CA
Zip	:	95630-2005
Country	:	US
Telephone Number	:	818-571-4076
Fax Number	:

Provider Business Practice Location Address
First Line	:	900 FULTON AVE
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95825-4500
Country	:	US
Telephone Number	:	916-426-6567
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/09/2026
Last Update Date	:	02/09/2026

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