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NPI Code Detail

MEDICARE: MS. YVETTE MCLEMORE

MEDICARE:  MS. YVETTE  MCLEMORE
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) CounselorCA

General Provider Information

NPI Number : 1316247992
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. YVETTE MCLEMORE
Provider Business Mailing Address
First Line : 1228 E COMPTON BLVD
Second Line :
City : COMPTON
State : CA
Zip : 90221-3310
Country : US
Telephone Number : 310-608-1505
Fax Number :
Provider Business Practice Location Address
First Line : 2501 W EL SEGUNDO BLVD
Second Line :
City : HAWTHORNE
State : CA
Zip : 90250-3317
Country : US
Telephone Number : 323-754-2816
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/28/2010
Last Update Date : 11/12/2019

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Directions to “ MS. YVETTE MCLEMORE ” Practice Location

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