Provider Demographics
NPI:1154573269
Name:BECKA, SADIE ELAINE (MA)
Entity type:Individual
Prefix:MRS
First Name:SADIE
Middle Name:ELAINE
Last Name:BECKA
Suffix:
Gender:F
Credentials:MA
Other - Prefix:MS
Other - First Name:SADIE
Other - Middle Name:ELAINE
Other - Last Name:NEWINGTON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:7240 EAST SOUTHGATE DR
Mailing Address - Street 2:SUITE G
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95823
Mailing Address - Country:US
Mailing Address - Phone:916-391-4293
Mailing Address - Fax:916-391-4247
Practice Address - Street 1:7240 EAST SOUTHGATE DR
Practice Address - Street 2:SUITE G
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95823
Practice Address - Country:US
Practice Address - Phone:916-391-4293
Practice Address - Fax:916-391-4247
Is Sole Proprietor?:No
Enumeration Date:2008-10-21
Last Update Date:2008-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA3409101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor