MEDICARE: DARLENE R SHIPP ESTES

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	131577	CA

General Provider Information

NPI Number	:	1811747124
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DARLENE R SHIPP ESTES

Provider Business Mailing Address
First Line	:	PO BOX 283
Second Line	:
City	:	ELK GROVE
State	:	CA
Zip	:	95759-0283
Country	:	US
Telephone Number	:	916-893-1350
Fax Number	:

Provider Business Practice Location Address
First Line	:	8505 CENTER PKWY
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95823-6114
Country	:	US
Telephone Number	:	916-893-1350
Fax Number	:

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

Provider Enumeration Date	:	03/27/2024
Last Update Date	:	03/27/2024

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Directions to “ DARLENE R SHIPP ESTES ” Practice Location

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