Individual
BRANDA JOLISA CORREA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4441 AUBURN BLVD, SACRAMENTO, CA 95841-4139
(916) 473-5764
Mailing address
1044 CUMMINS WAY, WEST SACRAMENTO, CA 95605-2125
(916) 737-8145
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
CA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
CA
Other
Enumeration date
10/21/2019
Last updated
10/21/2019
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