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NPI Code Detail

MEDICARE: RAJBIR KAUR BAINIWAL

MEDICARE: RAJBIR KAUR BAINIWAL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor
2101YP2500XProfessional Counselor

General Provider Information

NPI Number : 1023580206
Entity Type Code : Individual
Provider Name (Legal Business Name) : RAJBIR KAUR BAINIWAL
Provider Business Mailing Address
First Line : 5080 MOORCROFT CIR
Second Line :
City : STOCKTON
State : CA
Zip : 95206-6155
Country : US
Telephone Number : 209-817-4726
Fax Number :
Provider Business Practice Location Address
First Line : 2423 W MARCH LN STE 200
Second Line :
City : STOCKTON
State : CA
Zip : 95207-8250
Country : US
Telephone Number : 209-687-2019
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/27/2018
Last Update Date : 07/10/2025

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Directions to “ RAJBIR KAUR BAINIWAL ” Practice Location

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