Provider Demographics
NPI:1114167533
Name:RICHARDS LANGLEY, SUNNY J (RAS, CSC, CDS)
Entity type:Individual
Prefix:MRS
First Name:SUNNY
Middle Name:J
Last Name:RICHARDS LANGLEY
Suffix:
Gender:F
Credentials:RAS, CSC, CDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9277 GUILLERMINA CT
Mailing Address - Street 2:
Mailing Address - City:ELK GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:95758-5045
Mailing Address - Country:US
Mailing Address - Phone:916-717-5100
Mailing Address - Fax:
Practice Address - Street 1:3485 BERETANIA WAY
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95834-2548
Practice Address - Country:US
Practice Address - Phone:916-285-0885
Practice Address - Fax:916-285-0885
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-25
Last Update Date:2014-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA03-080425101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)