Basic Information
| Provider Information | |||||||||
| NPI: | 1427698588 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | PASION | ||||||||
| FirstName: | ISABEL | ||||||||
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| Mailing Information | |||||||||
| Address1: | 8945 GOLF LINKS RD | ||||||||
| Address2: | |||||||||
| City: | OAKLAND | ||||||||
| State: | CA | ||||||||
| PostalCode: | 946054124 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5203171444 | ||||||||
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| Practice Location | |||||||||
| Address1: | 9701 DINO DR | ||||||||
| Address2: | |||||||||
| City: | ELK GROVE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 956244025 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9168920013 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 01/07/2020 | ||||||||
| LastUpdateDate: | 08/19/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 08/19/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 106S00000X | F1624636 | CA | N | 101YM0800X | CA | Y | Behavioral Health & Social Service Providers | Counselor | Mental Health |
No ID Information.