Provider Demographics
NPI:1730482837
Name:IGLECIAS-HUGHES, ANNETTE MARIE (CAS, NCAC, CSC)
Entity Type:Individual
Prefix:MRS
First Name:ANNETTE
Middle Name:MARIE
Last Name:IGLECIAS-HUGHES
Suffix:
Gender:F
Credentials:CAS, NCAC, CSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9261 FOLSOM BLVD STE 500
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95826-2560
Mailing Address - Country:US
Mailing Address - Phone:916-363-1553
Mailing Address - Fax:916-363-1638
Practice Address - Street 1:3780 ROSIN CT STE 240
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95834-1644
Practice Address - Country:US
Practice Address - Phone:916-441-0226
Practice Address - Fax:916-441-0286
Is Sole Proprietor?:No
Enumeration Date:2010-12-10
Last Update Date:2010-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA03-076888101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)