Organization
BLUE SKY COUNSELING CENTER CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNICA RACHEL JENKINS PSYD, LPCC26 (PRESIDENT CLINICAL DIRECTOR)
(916) 747-3799
Entity
Organization
Contact information
Practice address
1899 E ROSEVILLE PKWY, SUITE 140, ROSEVILLE, CA 95661-7979
(916) 747-3799
(916) 756-0352
Mailing address
2351 SUNSET BLVD, SUITE 170-241, ROCKLIN, CA 95765-4338
(916) 747-3799
(916) 756-0352
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
LPC6072
CO
251S00000X
Community/Behavioral Health Agency
Primary
LPCC26
CA
Other
Enumeration date
05/28/2014
Last updated
05/28/2014
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