Individual
CATARINA JUAN FISHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3555 AUBURN BLVD, SACRAMENTO, CA 95821-2071
(213) 509-0990
Mailing address
1381 BALLENA BLVD APT A, ALAMEDA, CA 94501-3642
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103T00000X
Psychologist
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/31/2012
Last updated
05/18/2021
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