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NPI Code Detail

MEDICARE: MRS. ADRIANA LUQUIN MASTER'S DEGREE

MEDICARE: MRS. ADRIANA LUQUIN MASTER'S DEGREE
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
2225400000XRehabilitation Practitioner

General Provider Information

NPI Number : 1154456903
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ADRIANA LUQUIN MASTER'S DEGREE
Provider Business Mailing Address
First Line : 867 N FAIR OAKS AVE
Second Line :
City : PASADENA
State : CA
Zip : 91103-3050
Country : US
Telephone Number : 626-214-0312
Fax Number : 626-585-1664
Provider Business Practice Location Address
First Line : 867 N FAIR OAKS AVE
Second Line :
City : PASADENA
State : CA
Zip : 91103-3050
Country : US
Telephone Number : 626-214-0312
Fax Number : 626-585-1664
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/22/2007
Last Update Date : 02/10/2021

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