Provider Demographics
NPI:1083214241
Name:SAPOZINK, RACHEL
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:SAPOZINK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:MARIE SAPOZINK
Other - Last Name:PARK
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:441 GARDEN ST
Mailing Address - Street 2:
Mailing Address - City:WEST SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95691-2863
Mailing Address - Country:US
Mailing Address - Phone:602-478-4197
Mailing Address - Fax:
Practice Address - Street 1:8110 POCKET RD STE 102
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95831-5829
Practice Address - Country:US
Practice Address - Phone:916-245-0715
Practice Address - Fax:916-848-3755
Is Sole Proprietor?:No
Enumeration Date:2020-10-27
Last Update Date:2023-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA129472106H00000X
CA88988106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist