Basic Information
| Provider Information | |||||||||
| NPI: | 1447338629 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | LA FAMILIA COUNSELING CENTER, INC. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5523 34TH ST | ||||||||
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| City: | SACRAMENTO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 958204725 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9164523601 | ||||||||
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| Practice Location | |||||||||
| Address1: | 3301 37TH AVE | ||||||||
| Address2: | |||||||||
| City: | SACRAMENTO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 958242418 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9164523601 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 11/02/2006 | ||||||||
| LastUpdateDate: | 12/09/2021 | ||||||||
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| AuthorizedOfficialLastName: | ARMENTA | ||||||||
| AuthorizedOfficialFirstName: | JESSIE | ||||||||
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| AuthorizedOfficialTitleorPosition: | CLINICAL DIRECTOR | ||||||||
| AuthorizedOfficialTelephone: | 9162108773 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MRS. | ||||||||
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| AuthorizedOfficialCredential: | LMFT | ||||||||
| NPICertificationDate: | 12/09/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261Q00000X | Y | Ambulatory Health Care Facilities | Clinic/Center |
No ID Information.