Individual
CECILIA PERRYMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3400 WATT AVE, #205, SACRAMENTO, CA 95821-3602
(916) 222-7212
Mailing address
3400 WATT AVE, #205, SACRAMENTO, CA 95821-3602
(916) 222-7212
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
CA
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
1437585791
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1437585791
DMC ADMINSTARTION
CA
Enumeration date
08/11/2016
Last updated
08/11/2016
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