Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACKIE LOU TABBADA
Active Sole ProprietorJACKIE LOU TABBADA is a Psychiatric Residential Treatment Facility healthcare provider located in SACRAMENTO, California. NPI 1851796130 is currently active in the NPPES registry. Verify at CMS.
Psychiatric Residential Treatment Facility · SACRAMENTO, CA
Registration Details
- NPI Number
- 1851796130
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 29, 2014 (11.810365100513 yrs)
- Last Updated
- Oct 29, 2014
- License
-
347000518 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4801 34TH STSACRAMENTO, CA, 958204849Browse CA providers · Browse ZIP 95820
- Phone
- 9163648395
- Primary Specialty
-
Psychiatric Residential Treatment Facility
320800000X
Other Psychiatric Residential Treatment Facility Providers in SACRAMENTO, CA
| Name | Credential | NPI |
|---|---|---|
| SHANNON COUSINS-KAMARA | — | 1003086869 |
| YAMAIRA BOULAI | — | 1679882559 |
| JOSEPHINE MARTINEZ | — | 1730503533 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.