Individual
MICHAEL MASSENGALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CADAC-CAS
Contact information
Practice address
7225 E SOUTHGATE DR STE D, SACRAMENTO, CA 95823-2651
(916) 394-1000
(916) 394-1010
Mailing address
7225 E SOUTHGATE DR STE D, SACRAMENTO, CA 95823-2651
(916) 394-1000
(916) 394-1010
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/25/2016
Last updated
04/25/2016
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