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NPI Code Detail

MEDICARE: MR. CHAN O SAELEE LCSW

MEDICARE: MR. CHAN O SAELEE LCSW
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
1104100000XSocial Worker81904CA
2390200000XStudent in an Organized Health Care Education/Training Program
31041C0700XClinical Social Worker81904CA

General Provider Information

NPI Number : 1457546418
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. CHAN O SAELEE LCSW
Provider Business Mailing Address
First Line : 3840 ROSIN CT STE 100
Second Line :
City : SACRAMENTO
State : CA
Zip : 95834-1645
Country : US
Telephone Number : 916-921-0828
Fax Number : 916-237-8073
Provider Business Practice Location Address
First Line : 3840 ROSIN CT STE 100
Second Line :
City : SACRAMENTO
State : CA
Zip : 95834-1645
Country : US
Telephone Number : 916-921-0828
Fax Number : 916-237-8073
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/12/2007
Last Update Date : 07/27/2023

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Directions to “ MR. CHAN O SAELEE LCSW” Practice Location

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