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NPI Code Detail

MEDICARE: ALLISON BUZARD

MEDICARE:   ALLISON  BUZARD
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 Counselor

General Provider Information

NPI Number : 1417078080
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALLISON BUZARD
Provider Business Mailing Address
First Line : PO BOX 730276
Second Line :
City : SAN JOSE
State : CA
Zip : 95173-0276
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1127 BALDWIN ST
Second Line : SUITE A
City : SALINAS
State : CA
Zip : 93906-3681
Country : US
Telephone Number : 831-449-7974
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/02/2007
Last Update Date : 07/08/2007

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Directions to “ ALLISON BUZARD ” Practice Location

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