Individual
MS. ELIZABETH TENNIAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
650 HOWE AVE, SACRAMENTO, CA 95825-4731
(916) 441-0123
Mailing address
4420 OAKHOLLOW DR, APT 95, SACRAMENTO, CA 95842-4024
(916) 628-1021
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
05/03/2007
Last updated
04/14/2023
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