Fackrell, Courtney Marie

Fackrell, Courtney Marie is an individual health care provider with primary practice located at 1145 Sibley St , Folsom CA 95630-3222. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Fackrell, Courtney Marie can be contacted via phone (916) 292-8060.

Contact Information

Primary practice address
1145 Sibley St Folsom CA 95630-3222
Phone: (916) 292-8060
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X California

Profile Details

NPI number 1194355818
LBN Legal business name Fackrell, Courtney Marie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 2020
Last updated Jan 22nd, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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