Most Relevant Information
Provider Data
| NPI Number: | 1003488750 |
| Provider Name: | ANNELISE C AFFONSO |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/13/2021 |
| Last Updated: | 12/04/2023 |
Provider Practice Location
401 S ST
SACRAMENTO
CA
958116919
Practice Location Phone/Fax
| Phone: | 9165847800 |
| Fax: |
Provider Mailing Location
401 S ST
SACRAMENTO
CA
958116919
Provider Mailing Phone/Fax
| Phone: | 9165847800 |
| Fax: |