Provider Demographics
NPI:1386775369
Name:CONTEH, MARY BABY
Entity type:Individual
Prefix:MS
First Name:MARY
Middle Name:BABY
Last Name:CONTEH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MARY
Other - Middle Name:BABY
Other - Last Name:CONTEH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BSHS
Mailing Address - Street 1:3870 ROSIN CT STE 130
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95834-1647
Mailing Address - Country:US
Mailing Address - Phone:916-568-8462
Mailing Address - Fax:916-441-0286
Practice Address - Street 1:3870 ROSIN CT STE 130
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95834
Practice Address - Country:US
Practice Address - Phone:916-568-8462
Practice Address - Fax:916-441-0286
Is Sole Proprietor?:No
Enumeration Date:2007-03-08
Last Update Date:2019-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X, 101Y00000X
CA390200000X, 104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No101Y00000XBehavioral Health & Social Service ProvidersCounselor