Individual provider · Type 1 NPI

Shannon Cousins-Kamara

Mental Illness Community Based Residential Treatment Facility · Sacramento, CA

NPI number 1003086869 Active

Practice location

650 Howe Ave
Sacramento, CA 95825-4731

Mailing address

149 Cinema St
Sacramento, CA 95823-7320

Other practice locations

  • 4600 47th Ave, 111, Sacramento, CA 95824-3923 · (916) 393-1222

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Mental Illness Community Based Residential Treatment Facility Primary 320800000XNone listed
Counselor 101Y00000XNone listed

Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

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About NPI 1003086869

Shannon Cousins-Kamara's National Provider Identifier is 1003086869, issued on Mar 7, 2008. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Sacramento, CA. The record was last updated on Sep 14, 2018.