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NPI Code Detail

MEDICARE: ANDREY D. FINHOLT

MEDICARE: ANDREY D. FINHOLT
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
1101Y00000XCounselor

General Provider Information

NPI Number : 1225185655
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREY D. FINHOLT
Provider Business Mailing Address
First Line : 2055 SACRAMENTO ST APT 209
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94109-3320
Country : US
Telephone Number : 415-776-0694
Fax Number :
Provider Business Practice Location Address
First Line : 3200 ADELINE ST
Second Line :
City : BERKELEY
State : CA
Zip : 94703-2407
Country : US
Telephone Number : 510-601-0203
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/05/2007
Last Update Date : 07/25/2009

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Directions to “ ANDREY D. FINHOLT ” Practice Location

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