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NPI Code Detail

MEDICARE: WENDY VROMAN CATC

MEDICARE: WENDY VROMAN CATC
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) CounselorCATC# 051205CA

General Provider Information

NPI Number : 1083900807
Entity Type Code : Individual
Provider Name (Legal Business Name) : WENDY VROMAN CATC
Provider Business Mailing Address
First Line : 450 REDWOOD AVE
Second Line : APT. 17
City : REDWOOD CITY
State : CA
Zip : 94061-3079
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3789 HOOVER ST
Second Line :
City : REDWOOD CITY
State : CA
Zip : 94063-4504
Country : US
Telephone Number : 650-363-8735
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2011
Last Update Date : 06/20/2011

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