Individual
DR. ANTHONY J SCUDERI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAADC-S
Contact information
Practice address
9964 WINKLE CIRCLE, ELK GROVE, CA 95757-1904
(916) 879-9121
Mailing address
9964 WINKLE CIR, ELK GROVE, CA 95757-6277
(916) 879-9121
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LR15912121
CA
101YM0800X
Mental Health Counselor
CDP0320813
CA
Other
Enumeration date
09/23/2014
Last updated
01/04/2022
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