Individual
ANNIE THAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2315 STOCKTON BLVD, SACRAMENTO, CA 95817-2201
(916) 734-2011
Mailing address
2315 STOCKTON BLVD, SACRAMENTO, CA 95817-2201
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
100712
CA
1041C0700X
Clinical Social Worker
Primary
100712
CA
Other
Enumeration date
08/18/2014
Last updated
12/20/2024
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