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NPI Code Detail

MEDICARE: LA FAMILIA COUNSELING CENTER, INC.

MEDICARE: LA FAMILIA COUNSELING CENTER, INC.
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
1261Q00000XClinic/Center

General Provider Information

NPI Number : 1447338629
Entity Type Code : Organization
Provider Name (Legal Business Name) : LA FAMILIA COUNSELING CENTER, INC.
Provider Business Mailing Address
First Line : 5523 34TH ST
Second Line :
City : SACRAMENTO
State : CA
Zip : 95820-4725
Country : US
Telephone Number : 916-452-3601
Fax Number :
Provider Business Practice Location Address
First Line : 3301 37TH AVE
Second Line :
City : SACRAMENTO
State : CA
Zip : 95824-2418
Country : US
Telephone Number : 916-452-3601
Fax Number :
Authorized Official
Title or Position : CLINICAL DIRECTOR
Name : MRS. JESSIE ARMENTA
Credential : LMFT
Telephone Number : 916-210-8773
Provider Enumeration Date : 11/02/2006
Last Update Date : 12/09/2021

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