Individual provider · Type 1 NPI
Mendy Kay Degennaro, B00003290224
Addiction (Substance Use Disorder) Counselor · Sacramento, CA
NPI number
1003667296
Active
Practice location
3647 40th St
Sacramento, CA 95817-3609
Fax (916) 469-9415
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | B00003290224 (CA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1003667296
Mendy Kay Degennaro, B00003290224's National Provider Identifier is 1003667296, issued on Mar 27, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Sacramento, CA. The record was last updated on Mar 27, 2024.