MEDICARE: DAIRYA EMERSON-LEVI

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	161124	CA

General Provider Information

NPI Number	:	1427789023
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAIRYA EMERSON-LEVI

Provider Business Mailing Address
First Line	:	PO BOX 5505
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95817-0505
Country	:	US
Telephone Number	:	707-694-5325
Fax Number	:

Provider Business Practice Location Address
First Line	:	2360 EL CAMINO AVE
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95821-5611
Country	:	US
Telephone Number	:	916-979-1788
Fax Number	:

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

Provider Enumeration Date	:	06/23/2022
Last Update Date	:	01/31/2026

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