Individual
MR. JOHN MATTHEW EBERSBERGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
3700 BUSINESS DR STE 130, SACRAMENTO, CA 95820-2164
(916) 734-5819
(916) 734-0616
Mailing address
1450 MISSION AVE, CARMICHAEL, CA 95608-5857
(916) 734-5819
(916) 734-0616
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
LCS18955
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101YP25DOX
—
CA
05
—
171M00000X
—
CA
Enumeration date
12/05/2006
Last updated
07/09/2007
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