Provider Information for 1154157162
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Mr. ANTHONY HODGES LMFT
Sex: Male
NPI: 1154157162
Last Updated: 2024-09-09
Certification Date: 2024-09-09
Certification Date: 2024-09-09
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1154157162 | ||||||||
| Enumeration Date | 2024-09-09 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | PO BOX 775 RANCHO CORDOVA, CA 95741-0775 United States Phone: 916-248-6642 | Fax: | ||||||||
| Primary Practice Address | 3063 GOLD CANAL DR RANCHO CORDOVA, CA 95670-6129 United States Phone: 916-258-7657 | Fax: | ||||||||
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