Individual
ANDREA SUMNER BORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RADT I
Contact information
Practice address
1550 JULIESSE AVE, SACRAMENTO, CA 95815-1803
(916) 405-4600
(916) 921-6604
Mailing address
1550 JULIESSE AVE, SACRAMENTO, CA 95815-1803
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
R115401214
CA
Other
Enumeration date
09/15/2015
Last updated
09/15/2015
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