Individual
MISS JENNIFER SUSAN CHURCHILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2750 SUTTERVILLE RD, SACRAMENTO, CA 95820-1093
(916) 290-8233
Mailing address
2750 SUTTERVILLE RD, SACRAMENTO, CA 95820-1093
(916) 290-8233
(916) 388-9273
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
CA
175T00000X
Peer Specialist
Primary
JPGCUTBYWRQIXHOS
CA
Other
Enumeration date
01/18/2010
Last updated
04/07/2023
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