Individual
LAICA JEAN MARTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9837 FOLSOM BLVD STE F, SACRAMENTO, CA 95827-1356
(916) 450-2600
Mailing address
3800 WATT AVE STE 110, SACRAMENTO, CA 95821-2622
(916) 344-0249
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
MPSS-PDLTGR
CA
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
02/28/2020
Last updated
01/05/2026
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