Individual
TERRY FISCUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4600 47TH AVE, SACRAMENTO, CA 95824-3923
(916) 393-1222
Mailing address
6950 65TH ST, SACRAMENTO, CA 95823-2316
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
10/06/2008
Last updated
06/05/2025
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