Individual
SEAN KELLEY FANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 BERCUT DR, SACRAMENTO, CA 95811-0131
(916) 846-5357
(916) 440-1514
Mailing address
600 BERCUT DR, SACRAMENTO, CA 95811-0131
(916) 846-5357
(916) 440-1514
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
CA
172V00000X
Community Health Worker
Primary
—
—
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
12/10/2024
Last updated
02/17/2026
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