Individual
MR. ANDREW LOUIS WAKEFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
630 BERCUT DR, SACRAMENTO, CA 95811-0110
(916) 441-3819
Mailing address
2921 MOUNT DANAHER RD, CAMINO, CA 95709-9554
(916) 838-1593
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
90767
CA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
08/13/2007
Last updated
04/06/2023
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