person
Theresa M Desouza, CAS
Substance Abuse Rehabilitation Facility in Sacramento, California
NPI 1902046220

Theresa M Desouza is a Substance Abuse Rehabilitation Facility based in Sacramento, CA. Theresa M Desouza practices in Sacramento, CA and has the professional credentials of CAS. The NPI Number for Theresa M Desouza is 1902046220 and holds a License No. 03-080650 (California).

The current practice location address for Theresa M Desouza is 1550 Juliesse Ave, Sacramento, CA and can be reached out via phone at 916-609-4821 and via fax at 916-921-6604. You can also correspond with Theresa M Desouza through the mailing address at 1550 JULIESSE AVE, SACRAMENTO, CA - 95815-1803 (mailing address contact number: 916-609-4821).

Location: 1550 Juliesse Ave, Sacramento, CA, 95815-1803
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Provider Profile Details
NPI Number
1902046220
Provider Name
Theresa M Desouza
Credential
CAS
Provider Entity Type
Individual
Gender
Female
Address
1550 Juliesse Ave, Sacramento, CA, 95815-1803
Phone Number
916-609-4821
Fax Number
916-921-6604
Provider Enumeration Date
02/26/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
03-080650 01 CA COUNSELOR
institution
Provider Business Practice Location Address Details
Address
1550 Juliesse Ave
City
State
Zip
95815-1803
Phone Number
916-609-4821
Fax Number
916-921-6604
person
Provider Business Mailing Address Details
Address
1550 Juliesse Ave
City
State
Zip
95815-1803
Phone Number
916-609-4821
Fax Number
916-921-6604
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
License No.
03-080650 (California)
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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