CESSILEY HADERLIE AMFT NPI 1710706189

NPI Information

  • NPI: 1710706189
  • Provider Name: CESSILEY HADERLIE, AMFT
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 8788 ELK GROVE BLVD STE D
    ELK GROVE, CA
    ZIP 95624
  • Phone: (916) 400-0505

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NPI Details

Cessiley Haderlie, AMFT is a mental health counselor in Elk Grove, CA. Cessiley Haderlie, AMFT NPI is 1710706189. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

8788 ELK GROVE BLVD STE D
ELK GROVE, CA
ZIP 95624-767
Phone: (916) 400-0505

The enumeration date for this NPI number is 10/3/2024 and was last updated on 10/3/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental Health147911CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

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