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NPI Code Detail

MEDICARE: MR. JULIEN DAVID RAFFINOT

MEDICARE: MR. JULIEN DAVID RAFFINOT
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 : 1245944263
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JULIEN DAVID RAFFINOT
Provider Business Mailing Address
First Line : 1765 LE ROY AVE APT A
Second Line :
City : BERKELEY
State : CA
Zip : 94709-1162
Country : US
Telephone Number : 510-717-3113
Fax Number :
Provider Business Practice Location Address
First Line : 1820 SCENIC AVE
Second Line :
City : BERKELEY
State : CA
Zip : 94709-1395
Country : US
Telephone Number : 510-548-7270
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/13/2023
Last Update Date : 01/13/2023

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