Individual
BRENDA CAMACHO RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4600 47TH AVE, SACRAMENTO, CA 95824-3957
(916) 318-0141
Mailing address
630 BERCUT DR STE C, SACRAMENTO, CA 95811-0110
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
ASW127991
CA
171M00000X
Case Manager/Care Coordinator
—
CA
Other
Enumeration date
10/01/2020
Last updated
01/23/2025
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