Provider Demographics
NPI:1376260950
Name:EDSINGER, STEVEN JAMES JR
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:JAMES
Last Name:EDSINGER
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7200 BEJA CT
Mailing Address - Street 2:
Mailing Address - City:ELK GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:95757-3463
Mailing Address - Country:US
Mailing Address - Phone:916-280-9300
Mailing Address - Fax:
Practice Address - Street 1:1914 22ND ST
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95816-7109
Practice Address - Country:US
Practice Address - Phone:916-455-6258
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-24
Last Update Date:2022-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)