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WILL RACE

Mental Health >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1538516125

Individual Registrant:
 WILL  RACE 
Gender: M
Not Sole Proprietor

Location and contact information for practice:
3120 FREEBOARD DR  W SACRAMENTO, CA 95691-5039 US
Tel: 530-351-7975  Fax: --

Contact information for business:
3120 FREEBOARD DR  W SACRAMENTO, CA 95691-5039 US
Tel: 530-351-7975  Fax: --

Registration Information:
NPI: 1538516125
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N101YM0800XBehavioral Health & Social Service Providers
Counselor
Mental Health
Y104100000XBehavioral Health & Social Service Providers
Social Worker
CAASW81039

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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