Provider Demographics
NPI:1477664787
Name:SCHNACK, DEBRA JANE (MFT)
Entity Type:Individual
Prefix:
First Name:DEBRA
Middle Name:JANE
Last Name:SCHNACK
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2101 STONE BLVD STE 240
Mailing Address - Street 2:
Mailing Address - City:WEST SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95691-4044
Mailing Address - Country:US
Mailing Address - Phone:916-716-7626
Mailing Address - Fax:610-643-6730
Practice Address - Street 1:2101 STONE BLVD STE 240
Practice Address - Street 2:
Practice Address - City:WEST SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95691-4044
Practice Address - Country:US
Practice Address - Phone:916-716-7626
Practice Address - Fax:610-643-6730
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2010-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist