Provider Demographics
NPI:1245601723
Name:ALBIN, JESSICA H (CADC-I)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:H
Last Name:ALBIN
Suffix:
Gender:F
Credentials:CADC-I
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3180 COUNTRY CLUB DR APT 9C
Mailing Address - Street 2:
Mailing Address - City:CAMERON PARK
Mailing Address - State:CA
Mailing Address - Zip Code:95682-8552
Mailing Address - Country:US
Mailing Address - Phone:530-957-4729
Mailing Address - Fax:
Practice Address - Street 1:900 FULTON AVE STE 230
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95825-4522
Practice Address - Country:US
Practice Address - Phone:916-830-7901
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-09
Last Update Date:2021-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CACI29200320101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)