Individual
CAROLYN HUMPHREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2100 CAPITOL AVE, SACRAMENTO, CA 95816-5721
(916) 442-4985
(916) 442-1029
Mailing address
310 HARRIS AVE STE A, SACRAMENTO, CA 95838-3249
(916) 649-6793
(916) 418-0174
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CAADAC
CA
Other
Enumeration date
07/18/2006
Last updated
07/08/2007
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