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ELROY BENTON WILBOURN
NPI 1164729661
Counselor - Addiction (Substance Use Disorder) in Sacramento, CA

Active since February 17, 2011
310 HARRIS AVE STE A, SACRAMENTO, CA 95838(916) 649-6793(916) 418-0174 Get Directions Write a Review

NPPES record last updated: February 17, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Elroy Benton Wilbourn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELROY BENTON WILBOURN (NPI 1164729661) is an individual addiction (substance use disorder) provider in Sacramento, California, licensed in California (A5260710) and active in the NPI registry since February 2011.

NPPES Registry Identity

NPI1164729661
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameELROY BENTON WILBOURN
Location Address310 HARRIS AVE STE ASacramento, CA 95838-3249
Mailing Address310 Harris Ave Ste ASacramento, CA 95838-3249 · (916) 649-6793 · Fax (916) 418-0174
Phone(916) 649-6793
Fax(916) 418-0174
Sole ProprietorNo
Enumeration DateFebruary 17, 2011
✔ NPI 1164729661 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in CA · A5260710
310 HARRIS AVE STE A, Sacramento, CA 95838
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNIFER LYNN TERRERI
Counselor (Addiction (Substance Use Disorder))
310 HARRIS AVE STE A
SACRAMENTO, CA 95838
Sacramento County (916) 649-6793
TRAVIS FRANKLIN
Counselor (Addiction (Substance Use Disorder))
310 HARRIS AVE STE A
SACRAMENTO, CA 95838
Sacramento County (916) 649-6793
CION ROSE PERFECTO
Licensed Vocational Nurse
310 HARRIS AVE STE A
SACRAMENTO, CA 95838
Sacramento County (916) 649-6793
AMANDA SELF SUDRC 13199
Counselor (Addiction (Substance Use Disorder))
310 HARRIS AVE STE A
SACRAMENTO, CA 95838
Sacramento County (916) 649-6793
DAN LEMUEL DIRECTO JACOB
Licensed Vocational Nurse
310 HARRIS AVE STE A
SACRAMENTO, CA 95838
Sacramento County (916) 649-6793
DOMINIQUE JENKINS LVN
Licensed Vocational Nurse
310 HARRIS AVE STE A
SACRAMENTO, CA 95838
Sacramento County (916) 649-6793
MS. MELANIE ELAINE PHILLIPS CADC II
Counselor (Addiction (Substance Use Disorder))
310 HARRIS AVE STE A
SACRAMENTO, CA 95838
Sacramento County (916) 649-6793
LUCY CRUZ RENTERIA CCMA
Case Manager/Care Coordinator
310 HARRIS AVE STE A
SACRAMENTO, CA 95838
Sacramento County (916) 649-6793

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elroy Wilbourn's NPI number?

The NPI number for Elroy Wilbourn is 1164729661. It was assigned to this individual provider in the NPPES registry on February 17, 2011.

Where is Elroy Wilbourn located?

Elroy Wilbourn practices at 310 Harris Ave Ste A, Sacramento, CA 95838. The listed phone number is (916) 649-6793.

What is Elroy Wilbourn's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Elroy Wilbourn was last updated on February 17, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.