| Core Purpose Therapy, Licensed Clinical Social Worker, Pc | |
|
1401 21st St Ste R Sacramento CA 95811-5226 | |
| (619) 880-0710 | |
| Not Available |
| Full Name | Core Purpose Therapy, Licensed Clinical Social Worker, Pc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1401 21st St Ste R, Sacramento, California |
| Authorized Official Name and Position | Samantha Lankford Houda (CEO) |
| Authorized Official Contact | 8583427485 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Core Purpose Therapy, Licensed Clinical Social Worker, Pc 1401 21st St Ste R Sacramento CA 95811-5226 Ph: (858) 342-7485 | Core Purpose Therapy, Licensed Clinical Social Worker, Pc 1401 21st St Ste R Sacramento CA 95811-5226 Ph: (619) 880-0710 |
| NPI Number | 1841964400 |
|---|---|
| Provider Enumeration Date | 08/05/2021 |
| Last Update Date | 08/05/2021 |
| Certification Date | 08/05/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841964400 | NPI | - | NPPES |
| 64860 | Other | CA | LCSW |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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