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Organization
SIERRA FOREVER FAMILIES
Active
Organization
SIERRA FOREVER FAMILIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER JACOBSEN (CFO)
(916) 368-5114
Entity
Organization
Contact information
Practice address
345 CROWN POINT CIR STE 300, GRASS VALLEY, CA 95945
(530) 478-0900
(530) 478-0982
Mailing address
8928 VOLUNTEER LANE #100, SACRAMENTO, CA 95826
(916) 368-5114
(916) 368-5157
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
LCS 11552
CA
251S00000X
Community/Behavioral Health Agency
Primary
297000560
CA
Other
Enumeration date
03/06/2007
Last updated
05/29/2018
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