Provider Demographics
NPI:1619107992
Name:PLACER COUNTY HEALTH AND HUMAN SERVICES
Entity Type:Organization
Organization Name:PLACER COUNTY HEALTH AND HUMAN SERVICES
Other - Org Name:COMMUNITY HEALTH/ COMMUNICABLE DISEASE TEAM
Other - Org Type:Other Name
Authorized Official - Title/Position:CLIENT SERVICES COUNSELOR II
Authorized Official - Prefix:MRS
Authorized Official - First Name:CANDACE
Authorized Official - Middle Name:NAOMI
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:CAADAC
Authorized Official - Phone:530-889-7184
Mailing Address - Street 1:11484 B AVE
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:CA
Mailing Address - Zip Code:95603-2603
Mailing Address - Country:US
Mailing Address - Phone:530-889-7141
Mailing Address - Fax:
Practice Address - Street 1:11484 B AVE
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:CA
Practice Address - Zip Code:95603-2603
Practice Address - Country:US
Practice Address - Phone:530-889-7141
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-21
Last Update Date:2009-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare