Individual provider · Type 1 NPI

Theodore Hudson

Counselor · Fair Oaks, CA

NPI number 1295608024 Active

Practice location

11228 Fair Oaks Blvd
Fair Oaks, CA 95628-5139

Call (916) 962-2800 Map

Mailing address

4624 Hutson Way
Elk Grove, CA 95757-3509

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XR1626590825 (CA)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1295608024

Theodore Hudson's National Provider Identifier is 1295608024, issued on Sep 26, 2025. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Fair Oaks, CA. The record was last updated on Sep 26, 2025.