Organization
SIERRA COMMUNITY MEDICAL FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM QUINN GREGORY (EXECUTIVE DIRECTOR)
(916) 630-7030
Entity
Organization
Contact information
Practice address
4420 ROCKLIN RD STE 5, ROCKLIN, CA 95677-2835
(916) 630-7030
(916) 630-7032
Mailing address
4420 ROCKLIN RD STE 5, ROCKLIN, CA 95677-2835
(916) 630-7030
(916) 630-7032
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP1600X
Pastoral Counselor
—
—
103TH0100X
Health Service Psychologist
—
—
106H00000X
Marriage & Family Therapist
—
—
174H00000X
Health Educator
Primary
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
Other
Enumeration date
10/13/2021
Last updated
10/13/2021
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