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NPI Code Detail

MEDICARE: MR. PERRY JAMES RANSOM BA, CADTP, CCDS

MEDICARE: MR. PERRY JAMES RANSOM BA, CADTP, CCDS
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
1171M00000XCase Manager/Care Coordinator
2101YA0400XAddiction (Substance Use Disorder) Counselor
3225400000XRehabilitation Practitioner
4101YA0400XAddiction (Substance Use Disorder) Counselor6823CA

General Provider Information

NPI Number : 1386833218
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. PERRY JAMES RANSOM BA, CADTP, CCDS
Provider Business Mailing Address
First Line : 380 ENCINAL ST STE 200
Second Line :
City : SANTA CRUZ
State : CA
Zip : 95060-2178
Country : US
Telephone Number : 831-469-1700
Fax Number :
Provider Business Practice Location Address
First Line : 380 ENCINAL ST STE 200
Second Line :
City : SANTA CRUZ
State : CA
Zip : 95060-2178
Country : US
Telephone Number : 831-469-1700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/16/2007
Last Update Date : 03/11/2026

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