| Sactown Therapy Llc | |
|
4070 Bridge St Ste 3 Fair Oaks CA 95628-7557 | |
| (415) 320-0141 | |
| (916) 357-9111 |
| Full Name | Sactown Therapy Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 4070 Bridge St Ste 3, Fair Oaks, California |
| Authorized Official Name and Position | Dr Kellen R Grayson (CEO) |
| Authorized Official Contact | 4153200141 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sactown Therapy Llc 4070 Bridge St Ste 3 Fair Oaks CA 95628-7557 Ph: (415) 320-0141 | Sactown Therapy Llc 4070 Bridge St Ste 3 Fair Oaks CA 95628-7557 Ph: (415) 320-0141 |
| NPI Number | 1417740473 |
|---|---|
| Provider Enumeration Date | 05/23/2025 |
| Last Update Date | 05/23/2025 |
| Certification Date | 05/23/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417740473 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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