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NPI Code Detail

MEDICARE: VIRGINIA L. CONGER MA, MFT

MEDICARE:   VIRGINIA L. CONGER  MA, MFT
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 CounselorMFC12546CA

General Provider Information

NPI Number : 1265727788
Entity Type Code : Individual
Provider Name (Legal Business Name) : VIRGINIA L. CONGER MA, MFT
Provider Business Mailing Address
First Line : 2571 CALIFORNIA PARK DR
Second Line : SUITE 210
City : CHICO
State : CA
Zip : 95928-4042
Country : US
Telephone Number : 530-899-1005
Fax Number : 530-899-1005
Provider Business Practice Location Address
First Line : 2571 CALIFORNIA PARK DR
Second Line : SUITE 210
City : CHICO
State : CA
Zip : 95928-4042
Country : US
Telephone Number : 530-899-1005
Fax Number : 530-899-1005
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2011
Last Update Date : 06/13/2011

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Directions to “ VIRGINIA L. CONGER MA, MFT” Practice Location

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