Individual
AHJAE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7001 EAST PKWY, SACRAMENTO, CA 95823-2501
(916) 709-0139
Mailing address
7001 EAST PKWY, SACRAMENTO, CA 95823-2501
(916) 709-0139
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
175T00000X
Peer Specialist
Primary
MPSS-TPEVCF
CA
Other
Enumeration date
09/25/2020
Last updated
03/07/2025
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