Individual
AVERLLY MAE CHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1300 ETHAN WAY STE 200, SACRAMENTO, CA 95825-2277
(888) 744-2872
Mailing address
1300 ETHAN WAY STE 200, SACRAMENTO, CA 95825-2277
(888) 744-2872
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/27/2025
Last updated
03/27/2025
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