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NPI Code Detail

MEDICARE: MR. STEVE L CUMMINGS CADC II, ICADC

MEDICARE: MR. STEVE L CUMMINGS CADC II, ICADC
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) CounselorA042350916CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1A042350916OTHERCACERTIFIED SUBSTANCE USE DISORDER COUNSELOR

General Provider Information

NPI Number : 1326390972
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. STEVE L CUMMINGS CADC II, ICADC
Provider Business Mailing Address
First Line : 120 W SCHOOL AVE
Second Line :
City : VISALIA
State : CA
Zip : 93291-4925
Country : US
Telephone Number : 559-625-4100
Fax Number : 559-625-1970
Provider Business Practice Location Address
First Line : 120 W SCHOOL AVE
Second Line :
City : VISALIA
State : CA
Zip : 93291-4925
Country : US
Telephone Number : 559-625-4100
Fax Number : 559-625-1970
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/05/2012
Last Update Date : 09/25/2019

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