MEDICARE: APRIL LATAYE EUGENE

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
1	101YM0800X	Mental Health Counselor
2	101YM0800X	Mental Health Counselor	86825	CA

General Provider Information

NPI Number	:	1154605616
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	APRIL LATAYE EUGENE

Provider Business Mailing Address
First Line	:	3576 ARLINGTON AVE STE 100
Second Line	:
City	:	RIVERSIDE
State	:	CA
Zip	:	92506-3907
Country	:	US
Telephone Number	:	951-374-1555
Fax Number	:

Provider Business Practice Location Address
First Line	:	3576 ARLINGTON AVE STE 100
Second Line	:
City	:	RIVERSIDE
State	:	CA
Zip	:	92506-3907
Country	:	US
Telephone Number	:	951-374-1555
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/03/2011
Last Update Date	:	03/24/2023

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Directions to “ APRIL LATAYE EUGENE ” Practice Location

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