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NPI Code Detail

MEDICARE: MS. ANN KACIC BRYANT

MEDICARE: MS. ANN KACIC BRYANT
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
1101Y00000XCounselorIMF65925CA

General Provider Information

NPI Number : 1093893950
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ANN KACIC BRYANT
Provider Business Mailing Address
First Line : 1236 CHAPALA ST
Second Line :
City : SANTA BARBARA
State : CA
Zip : 93101-3116
Country : US
Telephone Number : 805-965-2376
Fax Number : 805-963-6707
Provider Business Practice Location Address
First Line : 1236 CHAPALA ST
Second Line :
City : SANTA BARBARA
State : CA
Zip : 93101-3116
Country : US
Telephone Number : 805-965-2376
Fax Number : 805-963-6707
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2006
Last Update Date : 03/27/2012

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Directions to “ MS. ANN KACIC BRYANT ” Practice Location

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