Provider Demographics
NPI:1801806468
Name:CHUI, PENELOPE LAIHA (MASTER OF ARTS)
Entity type:Individual
Prefix:MS
First Name:PENELOPE
Middle Name:LAIHA
Last Name:CHUI
Suffix:
Gender:F
Credentials:MASTER OF ARTS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 221723
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95822-8723
Mailing Address - Country:US
Mailing Address - Phone:916-709-7872
Mailing Address - Fax:916-538-6218
Practice Address - Street 1:6130 FREEPORT BLVD
Practice Address - Street 2:SUITE 200 B
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95822-3520
Practice Address - Country:US
Practice Address - Phone:916-709-7872
Practice Address - Fax:916-538-6218
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-08
Last Update Date:2020-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC6800101Y00000X
CALPCC8101YP2500X
CALMFT43546106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional