Individual
JOI KOOGLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
811 GRAND AVE, SACRAMENTO, CA 95838-3466
(916) 922-9868
Mailing address
4920 VIR MAR ST APT 51, FAIR OAKS, CA 95628-4667
(916) 696-9343
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
CA
175T00000X
Peer Specialist
Primary
MPSS-BRYMVS
CA
372600000X
Adult Companion
—
—
Other
Enumeration date
12/03/2024
Last updated
12/09/2025
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