Organization · NPI-2

Adam Harrison, Licensed Clinical Social Worker INC.

Clinic/Center, Mental Health (Including Community Mental Health Center) · Sacramento, CA

NPI number1225764491
StatusActive
Last updated in NPPESJul 28, 2022

Details

NPI
1225764491
Entity type
Organization (NPI-2)
Legal business name
Adam Harrison, Licensed Clinical Social Worker INC.
Organization subpart
No
Enumeration date
Jul 28, 2022
Certification date
Jul 28, 2022
Last updated
Jul 28, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––Yes

Practice location

1401 21st St Ste R
Sacramento, CA 95811-5226

Phone 925-217-0485

Mailing address

Po Box 5533
Walnut Creek, CA 94596-1533

Authorized official

Adam Harrison
Owner
9252170485

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Clinic/Center, Mental Health (Including Community Mental Health Center) providers in Sacramento, CA