Provider Demographics
NPI:1740862739
Name:SINGER, KAITLYN CHRISTINE GIOIA
Entity type:Individual
Prefix:
First Name:KAITLYN
Middle Name:CHRISTINE GIOIA
Last Name:SINGER
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 1:6 STRIDE CT
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95817-2420
Mailing Address - Country:US
Mailing Address - Phone:916-457-7085
Mailing Address - Fax:
Practice Address - Street 1:129 C ST STE 3
Practice Address - Street 2:
Practice Address - City:DAVIS
Practice Address - State:CA
Practice Address - Zip Code:95616-4588
Practice Address - Country:US
Practice Address - Phone:916-436-1744
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-28
Last Update Date:2021-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA4605101YP2500X
CA105837101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional