Alena Kuzmenko

Individual provider Active NPI Marriage & Family Therapist · Rio Linda, CA

NPI 1003386541 · NPPES record last updated Sep 5, 2023

Key facts

NPI
1003386541
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
141164 (CA)
Practice address
112 W Q St
Rio Linda, CA 95673-1211
Phone
(916) 225-5551
NPI assigned
Nov 27, 2018
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
6960CAMDMental Health Counselor
116234CAMDMarriage & Family Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6960 CA
Marriage & Family Therapist 106H00000X 116234 CA
Marriage & Family Therapist 106H00000X 141164 CA Yes

Addresses

Primary practice location

112 W Q St
Rio Linda, CA 95673-1211

Mailing address

112 W Q St
Rio Linda, CA 95673-1211
Phone (916) 225-5551

Other practice location 1

1972 Ethan Way
Sacramento, CA 95825-0999
Phone (916) 921-2829

Other providers in Rio Linda, CA

All providers in Rio Linda, CA · Marriage & Family Therapist in California

Sources for this page

Verify at the official NPI Registry.