Organization
KELLY K HANZY THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY HANZY (MANAGER)
(510) 323-5343
Entity
Organization
Contact information
Practice address
3065 FREEPORT BLVD STE 11, SACRAMENTO, CA 95818-4347
(916) 767-1312
Mailing address
PO BOX 348056, SACRAMENTO, CA 95834-8056
(510) 323-5343
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/18/2023
Last updated
09/18/2023
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