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NPI Code Detail

MEDICARE: ADRIANA CHRISTINA NICULESCU LMFT

MEDICARE: ADRIANA CHRISTINA NICULESCU LMFT
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
1106H00000XMarriage & Family Therapist72996CA
2106H00000XMarriage & Family TherapistLMFT87388CA

General Provider Information

NPI Number : 1184067969
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADRIANA CHRISTINA NICULESCU LMFT
Provider Business Mailing Address
First Line : 19103 HOLLOW LN
Second Line :
City : REDDING
State : CA
Zip : 96003-8609
Country : US
Telephone Number : 530-604-8507
Fax Number :
Provider Business Practice Location Address
First Line : 1290 TAVERN RD
Second Line :
City : MAMMOTH LAKES
State : CA
Zip : 93546-6601
Country : US
Telephone Number : 530-604-8507
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/11/2013
Last Update Date : 02/02/2022

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