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Individual

BRENDA BALDAZO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
8912 VOLUNTEER LN, SACRAMENTO, CA 95826-3221
(916) 344-0199
Mailing address
8912 VOLUNTEER LN, SACRAMENTO, CA 95826-3221
(916) 344-0199

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
106S00000X
Behavior Technician
172V00000X
Community Health Worker
175T00000X
Peer Specialist
Primary
MPSS-RCBDHM
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
94447131D
CA
Enumeration date
10/12/2018
Last updated
04/22/2024
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