Theodore Hudson
Counselor in Fair Oaks, CA. Individual provider (NPI-1).
NPI number1295608024
StatusActive
Last updated in NPPESSep 26, 2025
Details
- NPI
- 1295608024
- Entity type
- Individual (NPI-1)
- Name
- Theodore Hudson
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 26, 2025
- Certification date
- Sep 26, 2025
- Last updated
- Sep 26, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | r1626590825 | CA | Yes |
Practice location
11228 Fair Oaks BlvdFair Oaks, CA 95628-5139
Phone 916-962-2800
Mailing address
4624 Hutson WayElk Grove, CA 95757-3509
Phone 916-890-5386
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All 9 Counselor providers in Fair Oaks · All 959 providers in Fair Oaks
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