Individual
GINA ALICE SILVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 JEFFERSON BLVD STE B195, WEST SACRAMENTO, CA 95605-2350
(916) 403-2900
Mailing address
500 JEFFERSON BLVD STE B195, WEST SACRAMENTO, CA 95605-2350
(916) 403-2900
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
104100000X
Social Worker
Primary
LCSW62412
CA
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
05/11/2007
Last updated
05/21/2021
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