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NPI Code Detail

MEDICARE: MARIA YSABEL ADAME C.A.S.

MEDICARE: MARIA YSABEL ADAME C.A.S.
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

General Provider Information

NPI Number : 1134361538
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIA YSABEL ADAME C.A.S.
Provider Business Mailing Address
First Line : 2727 P ST
Second Line :
City : SACRAMENTO
State : CA
Zip : 95816-6403
Country : US
Telephone Number : 916-452-3073
Fax Number : 916-452-1565
Provider Business Practice Location Address
First Line : 2727 P ST
Second Line :
City : SACRAMENTO
State : CA
Zip : 95816-6403
Country : US
Telephone Number : 916-452-3073
Fax Number : 916-452-1565
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/31/2009
Last Update Date : 03/31/2009

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