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Organization
MICHELLE'S MIRACLE RESOURCE FOUNDATION INC
Active
Organization
MICHELLE'S MIRACLE RESOURCE FOUNDATION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TEMEKA S FULLER (SOCIAL WORKER)
(916) 821-1620
Entity
Organization
Contact information
Practice address
4719 FOREST PKWY, SACRAMENTO, CA 95823-3139
(916) 821-1620
Mailing address
PO BOX 231951, SACRAMENTO, CA 95823-0415
(916) 821-1620
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
101YS0200X
School Counselor
—
—
1041S0200X
School Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
172V00000X
Community Health Worker
—
—
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
—
—
Other
Enumeration date
01/06/2025
Last updated
01/06/2025
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