Individual
AERIC PARK KUGLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
9343 TECH CENTER DR STE 110, SACRAMENTO, CA 95826-2592
(408) 465-8280
Mailing address
9412 BIG HORN BLVD STE 6, ELK GROVE, CA 95758-1101
(916) 609-5100
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
225400000X
Rehabilitation Practitioner
Primary
—
—
372600000X
Adult Companion
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
Other
Enumeration date
10/04/2012
Last updated
06/25/2025
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