Organization
HEALTHY MIND SACRAMENTO PSYCHOLOGICAL SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIMBERLY MILLER PHD (CEO)
(510) 356-8084
Entity
Organization
Contact information
Practice address
2620 J ST STE 15, SACRAMENTO, CA 95816-4381
(916) 694-2969
Mailing address
PO BOX 531, SACRAMENTO, CA 95812-0531
(916) 694-2969
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103G00000X
Clinical Neuropsychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
—
Enumeration date
08/26/2021
Last updated
08/26/2021
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