Provider Demographics
NPI:1982842209
Name:FELTUS, DENISE CLAUDETTE
Entity Type:Individual
Prefix:MRS
First Name:DENISE
Middle Name:CLAUDETTE
Last Name:FELTUS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7270 E SOUTHGATE DR
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95823-2621
Mailing Address - Country:US
Mailing Address - Phone:916-393-8387
Mailing Address - Fax:
Practice Address - Street 1:7270 E SOUTHGATE DR
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95823-2621
Practice Address - Country:US
Practice Address - Phone:916-393-8387
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-23
Last Update Date:2009-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)