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NPI Code Detail

MEDICARE: MARGUERET ANN FREED

MEDICARE: MARGUERET ANN FREED
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1053445841
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARGUERET ANN FREED
Provider Business Mailing Address
First Line : PO BOX 493
Second Line :
City : FORESTHILL
State : CA
Zip : 95631-0493
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 11512 B AVE
Second Line :
City : AUBURN
State : CA
Zip : 95603-2605
Country : US
Telephone Number : 530-889-7240
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/15/2007
Last Update Date : 07/08/2007

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Directions to “ MARGUERET ANN FREED ” Practice Location

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