Jeanne C Probasco, LCSW
Individual provider Active NPI Mental Health Counselor · Roseville, CA
NPI 1790096063 · NPPES record last updated Jul 1, 2010
Key facts
- NPI
- 1790096063
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 26343 (CA)
- Practice address
- 1660 E Roseville Pkwy
Roseville, CA 95661-3988 - Phone
- (916) 878-4027
- NPI assigned
- Jul 1, 2010
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26343 | CA | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 26343 | CA | Yes |
Addresses
Primary practice location
1660 E Roseville Pkwy
Roseville, CA 95661-3988
Mailing address
1660 E Roseville Pkwy
Roseville, CA 95661-3988
Phone (916) 878-4027
Other providers in Roseville, CA
- David George Pringle
- Olivia Grace Fleming Prinz
- Private Healthcare Facilities
- Private Healthcare Facilities
- Solomia Pro
- Professional Diagnostics Management
- Brittni Deven Proffit
- Promise Care Transport LLC
- Melissa Pryde
- Caitlynn Maree Puccio
All providers in Roseville, CA · Mental Health Counselor in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 1, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.