Individual
KELSEY JASSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
650 HOWE AVE BLDG 400A, SACRAMENTO, CA 95825-4731
(916) 441-0123
Mailing address
3815 MARCONI AVE, SACRAMENTO, CA 95821-3867
(916) 890-3000
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
372600000X
Adult Companion
Primary
—
CA
Other
Enumeration date
07/25/2022
Last updated
05/01/2025
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