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MISS SARAHJANE KLEINSASSER CADC II
Addiction (Substance Use Disorder) >> Counselor >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1316420474
Individual Registrant:MISS SARAHJANE KLEINSASSER CADC II
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
500 JEFFERSON BLVD W SACRAMENTO, CA 95605-2350 US
Tel: 530-554-0924 Fax: --
Tel: 530-554-0924 Fax: --
Contact information for business:
285 4TH ST WOODLAND, CA 95695-3501 US
Tel: 530-662-2699 Fax: --
Tel: 530-662-2699 Fax: --
Registration Information:
NPI: 1316420474
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 101YA0400X | Behavioral Health & Social Service Providers Counselor Addiction (Substance Use Disorder) | ||
| N | 101YA0400X | Behavioral Health & Social Service Providers Counselor | CA | A051760420 |
| N | 101YM0800X | Behavioral Health & Social Service Providers Counselor | ||
| Y | 101Y00000X | Behavioral Health & Social Service Providers Counselor | CA | A051760420 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| CCAPP-CADC-II | A051760420 | CA | 01 |
