MEDICARE: JANICE SAELEE

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	1041C0700X	Clinical Social Worker	33993	CA

General Provider Information

NPI Number	:	1417374018
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANICE SAELEE

Provider Business Mailing Address
First Line	:	590 ANTELOPE BLVD STE 30
Second Line	:
City	:	RED BLUFF
State	:	CA
Zip	:	96080-2474
Country	:	US
Telephone Number	:	530-529-2454
Fax Number	:	530-529-9456

Provider Business Practice Location Address
First Line	:	590 ANTELOPE BLVD STE 30
Second Line	:
City	:	RED BLUFF
State	:	CA
Zip	:	96080-2474
Country	:	US
Telephone Number	:	530-529-2454
Fax Number	:	530-529-9456

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

Provider Enumeration Date	:	03/21/2014
Last Update Date	:	03/21/2014

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Directions to “ JANICE SAELEE ” Practice Location

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